I am an American who lives in San Diego. It has great weather and does not feel like a big city. But the housing is very expensive. And CA has a high state income tax.
I hobby in Tijuana. About $120 an hour for a hot, young Latina.
The first time I had a physical from a female doctor I was 19. She was about 30 and attractive. I felt weird afterwords.
I am better now with female doctors, but still a little uncomfortable if she is holding my privates.