Cuenca's World-Heritage-listed old centre is still the modern city's centre – unlike Quito, where the old centre and the new are separate. Cuenca is where many retirees from the U.S. choose to settle. Our guide pointed out a high rise apartment building housing hundreds of these Americans. One of us asked the guide why they chose Cuenca. Good medical services, she said, and the cost of life. I hope she meant cost of living.