Fortunately, I have income on a regular basis from investments, and the company I used to work for have a great inexpensive medical and have said they would look into myself or even both of us a part-time position. Enough hours to get medical. Also Costco have Medical Plans at really good rates. I have used them previously. I earn enough from that cover the amounts they are talking about being minimum. While out of the USA I/we don't pay USA taxes, because I am out for more than 330 days per year. South Africa have extremely high taxes as does Nigeria, so we are used to paying.