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Six Things People Regret After Moving Abroad — The Realities Nobody Mentions Beforehand

Updated 2026-09-10·10 min read·Settling In

After years in this business you hear two extremes constantly: "leaving was the best decision, I could never go back", and "I regret it entirely, I never should have gone". I trust neither, because people usually say these things from an emotional peak or trough.

The reality is duller. Most people do not regret leaving as such; they regret a handful of specific things they failed to arrange in advance — and the list is remarkably consistent. What these items share is a timeline: invisible for the first two years, faintly painful by year five, acute by year ten — and by then the cost of fixing them is roughly ten times the cost of preventing them.

This article argues neither for leaving nor for going back. It simply lays the six out while you still have options. Where policy is involved, defer to the current rules of the relevant authority, and consult qualified professionals on your own situation.

The Reality of Expat Life: Regret Usually Means “Unplanned”, Not “Wrong Decision”

The word "regret" bundles three quite different things:

  • Expectation gap. You imagined islands, slow living and low costs; you got traffic, power cuts, slow paperwork and a humid rainy season. This peaks in year one and usually self-corrects within two — it is not real regret.
  • Structural mismatch. Your profession only monetises in your home market; your parents need long-term care; your child has passed the age where switching education systems is feasible. This is genuine misalignment, and it is usually predictable before departure.
  • Things you simply did not arrange. Healthcare, immigration status, schooling, social life, assets, social insurance. This third category accounts for the overwhelming majority of regret — and it is the only one that is fully preventable.

All six items below are in that third category. They are not specific to any country — Thailand, Malaysia, Japan, Europe and the Philippines all produce their own versions. What follows is the Philippine version as I actually see it, including the parts that do not flatter the Philippines.

Regret One: Healthcare Feels Irrelevant Before Forty and Decisive After Fifty

One: healthcare feels irrelevant before forty and decisive after fifty. When you are young, medical care means colds, check-ups and the occasional accident, and almost any system copes. The differences appear in chronic disease management, serious illness and elderly care.

  • Insurance age limits and pre-existing exclusions. International and local health policies generally cap the age at which you can enrol, and conditions that exist before enrolment are typically excluded. People who wait until a check-up in their fifties finds something either cannot buy cover at all, or find the one thing they need excluded. Health insurance is close to strictly better the earlier you buy it.
  • Chronic conditions become an open-ended cost, with medication availability abroad not necessarily matching what you are used to at home.
  • An honest read on Philippine healthcare: leading private hospitals in Metro Manila are genuinely capable, many doctors trained in the US system, and English poses no barrier. But the gap between public and private is wide, private care is not cheap out of pocket, and provincial healthcare is visibly thinner — complex cases usually get referred to a major city. If you plan to live on an island or in a province, treat distance to a major hospital as a hard criterion. PhilHealth coverage is limited and should not be your primary protection.
  • Communication and companionship matter more than hospital rankings when you are actually ill, and long-term and end-of-life care is generally harder to solve abroad because you lack a family network.

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Regret Two: Immigration Status Is a Subscription, Not a Purchase — the Visa Maintenance Costs Nobody Budgets

Two: immigration status is a recurring cost, not a one-off purchase. It behaves like a subscription — an annual fee, an annual errand, and exposure to policy change every single year. The underestimated parts: recurring obligations (visa renewals, ACR I-Card updates, the Annual Report, an ECC before certain departures) that nobody reminds you about; dependency fragility, since work visas attach to employers and dependent visas attach to a principal, so when the upstream status lapses the downstream lapses instantly, often with an overstay gap; policy that changes, meaning amounts, durations and age thresholds must always be checked against the authority's current announcements; and remediation costs — overstay penalties, added scrutiny, blacklist removal — that dwarf the cost of renewing on time.

Regrets Three and Four: Schooling Forces a Choice, and the Trailing Spouse’s Social Circle Narrows

Three: your child's path gets locked in earlier than you expect. An international school aligns well with Western university admissions and gives the strongest English environment, but costs the most and is largely incompatible with China's gaokao route — choosing it effectively closes that door. A local school costs far less and integrates the child socially but needs extra planning for university. Running both tracks in parallel doubles the child's load and few families sustain it. Switching gets more expensive every year and is close to irreversible in senior secondary, and what parents most often regret is not the choice itself but discovering at fifteen that a choice had to be made. Separately, erosion of the heritage language is near-inevitable and needs to be treated as a school subject; speaking it at home preserves conversation only.

Four: your social circle narrows the longer you stay. The causes are structural. People cycle out — corporate postings rotate every two or three years, students graduate and leave, businesses close — so you lose a cohort of friends on a repeating schedule, and eventually you stop investing. Building new close friendships after mid-career is inherently harder without shared history. And the trailing spouse is the most exposed: the working partner gets social contact from the job while the non-working partner starts from zero on language, driving and friendships. That imbalance, not money, is the root of a great many family conflicts abroad. Finally, staying inside one small national bubble degrades judgement — your understanding of the country freezes at the year you arrived and comes entirely second-hand.

What helps: decide where your child is most likely to attend university and work before choosing a system; deliberately manufacture recurring settings for yourself (a weekly game, a monthly dinner, a course that runs for months); and make sure the trailing spouse has an independent social line and something of their own to do. That should outrank moving to a bigger apartment on your priority list.

Regrets Five and Six: Cross-Border Assets Split Across Two Countries, and Social Insurance That Does Not Reconnect

Five: money in two places is hard to manage from either place.

  • Remote management of assets back home is badly underestimated. A rented-out property needs someone to manage it, pay dues and handle tenants; accounts can be restricted after long dormancy or by risk controls; a growing number of procedures require facial verification or personal appearance; ID documents expire and generally need renewal in person, subject to the issuing authority's current rules.
  • Cross-border transfers carry compliance friction. Banks in both directions verify source and purpose of funds, and incomplete documentation gets a transfer returned or frozen. The compliant route is the only route — underground remittance and private collection channels carry risk far above any convenience they offer.
  • Tax filing in two jurisdictions. Tax residency determination, reporting obligations on foreign income and any applicable double-taxation arrangements all depend on your specific circumstances. Consult a qualified tax professional rather than acting on chat-group advice.
  • Inheritance across borders is far more complicated than people expect when assets and heirs sit in different jurisdictions. Making a will and leaving a trusted person a current asset inventory is one of the cheapest high-value things you can do.

Six: social insurance back home stops quietly and does not resume neatly. Suspending contributions while abroad affects accumulated contribution years, which in turn affects pension entitlements and health-insurance rights; in some cities, property purchase, household registration and school admission policies are also tied to continuous contribution history. Medical expenses incurred abroad generally fall outside domestic health-insurance reimbursement, and rules on back-payment, on which contributor category applies and on out-of-area treatment registration vary by locality. Always confirm with the administering office in your place of enrolment.

What helps: before leaving, ask your local social insurance office three concrete questions — what suspension actually costs you, whether you may continue contributing under a flexible-employment or similar category, and how long reinstatement takes — and write the answers down; maintain a current inventory of property, accounts, policies and securities at home; put appropriate authorisation arrangements in place with a trusted relative; and return once a year to batch through documents, accounts and in-person verifications.

Minimising Regret: Five Things Worth Doing Before You Relocate and Commit to Long-Term Residency (SRRV or Otherwise) in the Philippines

Compressed into actions:

  1. Run an exit test before you commit. Ask: if I want to move back in three years, what would I need? If the answer is "I don't know", find out before you go. People who keep a viable route home tend to live abroad more comfortably, not less.
  2. Put healthcare and insurance ahead of a nicer apartment. Buy health cover before forty and keep it continuous, treat hospital distance as a hard criterion when choosing where to live, and carry a one-page bilingual emergency medical card.
  3. Aim for a status that does not depend on someone else. If you are staying long-term, look early at categories independent of an employer or a marriage rather than hanging a long-term plan on a single job.
  4. Settle your child's educational direction during primary school, working backwards from where they are likely to study and work.
  5. Do not let the home-country line go dark — social insurance, an asset inventory, authorisations, and one consolidated trip home each year.

An honest closing observation: the people with the most regret are usually neither the meticulous planners nor the impulsive movers, but those who "only meant to stay two years" and are still here ten years later. They lived on a short-term mindset, deferred everything long-term, and by the time the issues became unavoidable the best window had closed.

So the useful question is not whether to move abroad, but whether you are here short-term or long-term. If the answer is long-term, immigration status deserves to graduate from an annual, employer-dependent renewal into something more stable. In the Philippines the option most often discussed is the SRRV retirement visa administered by the PRA (Philippine Retirement Authority): it is not tied to an employer, allows long-term residence, and can include qualifying dependents. The limits deserve equal billing: it requires a deposit of a specified amount in a designated bank, has age tiers, and is not in itself a work authorisation — employment in the Philippines still requires the appropriate permit. Deposit levels, age thresholds and dependent allowances are adjusted from time to time, so always verify against the PRA's current announcements. Whether it fits depends on your age, your capital and whether you still need to work here. If you are leaning towards staying in the Philippines long-term, you can have Yixing assess your residency options first and compare SRRV against the alternatives before deciding whether switching is worth it.

Frequently Asked Questions

Is there a simple test for whether I actually regret moving abroad?
One reasonably good self-check: write down why you came and what you actually do every day, side by side. If you came for your children's education and they are now in the school you wanted, the traffic, the power cuts and the slow paperwork are unlikely to add up to genuine regret. If you came for a specific goal that no longer exists — the project folded, the industry shifted, family circumstances changed — that is structural misalignment, and the sooner you reassess the better. Real regret rarely comes from daily inconveniences; it comes from the original reason disappearing while you stay in place anyway.
When is the best time to buy health insurance?
As early as possible, with almost no exceptions. Two reasons: international and local policies generally impose an upper age limit for enrolment, so waiting can leave you unable to buy at all; and pre-existing conditions are typically excluded, meaning that if you enrol after a check-up finds something, the one thing you most need covered is precisely what will not be. Continuity also matters — a lapse usually restarts waiting periods, and anything that developed in the meantime is treated as pre-existing. Coverage scope, age caps and exclusions vary widely between products, so read the policy wording carefully and rely on the insurer's current terms.
Is healthcare in the Philippines reliable?
It depends where. Leading private hospitals in Metro Manila and other major cities are genuinely capable, many physicians trained in the US system, and English poses no barrier for emergencies and common procedures. Objectively, though, the gap between public and private facilities is wide, private care is not cheap when paid out of pocket, and provincial healthcare is noticeably thinner, with complex cases typically referred to a major city. PhilHealth coverage is limited and should be treated as supplementary rather than primary, which makes private health insurance a practical necessity. When choosing where to live, treat the distance to a major private hospital as a hard criterion, especially with chronic conditions, young children or elderly parents.
Should I keep contributing to social insurance at home while abroad?
There is no universal answer — it depends on your place of enrolment's current rules — but one thing is clear: do not simply stop contributing before finding out what that costs. Suspension affects accumulated contribution years, which in turn affects future pension entitlements and health-insurance rights, and in some cities continuous contribution history is tied to property purchase, household registration and school admissions. Before departure, ask the administering office three questions directly: what the consequences of suspension are, whether you may continue contributing under a flexible-employment or equivalent category, and how long reinstatement takes before entitlements resume. Record the answers rather than relying on informal advice.
My parents are getting older. How should I plan from abroad?
This is the item most often deferred and the most costly when it lands. Prepare on four fronts. Information: make sure you can see your parents' health status and medication situation at any time, and that a relative or neighbour nearby can be reached immediately. Authorisation: put the necessary legal authorisations in place in advance, so that a crisis does not find you unable to act from overseas. Funds: keep an emergency reserve accessible domestically rather than holding everything offshore. Contingency: know exactly how fast you can get from where you live to their city, and keep passports and visas ready to travel at all times. For the legal arrangements themselves, consult a qualified professional in the relevant jurisdiction.
If it isn't working out, is returning home a failure?
No, and in practice people who return early end up materially better off than those who force it. The damage comes from delay: while you postpone, your social insurance record, professional network, property management and your children's school placement all keep depreciating, while the cost of returning rises each year. A rational approach is to set an explicit review point — two or three years — and at that point assess honestly against the goals you originally set. Meeting them means continuing; missing them means seriously considering an adjustment. Treating the move as a correctable choice rather than a decision you must prove right reduces both the psychological pressure and the actual losses.

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