--- title: "Italy, Spain, Portugal or Greece? Compare the regions before you choose where to retire" deck: "Thinking of retiring in southern Europe? Compare healthcare, climate, housing and community in the places you could actually live, using official regional data." author: "Caitlin" published: 2026-11-14 updated: 2026-11-14 canonical: https://www.expatliving.it/articles/italy-spain-portugal-greece-regions-compared status: published license: "CC BY 4.0 — https://www.expatliving.it/terms#articles-license" credit_required: true cite_as: "“Italy, Spain, Portugal or Greece? Compare the regions before you choose where to retire” by Caitlin, Expat Living Italy, 14 November 2026. https://www.expatliving.it/articles/italy-spain-portugal-greece-regions-compared" --- Free to use with credit: cite Expat Living Italy and link to the article. Cite as: “Italy, Spain, Portugal or Greece? Compare the regions before you choose where to retire” by Caitlin, Expat Living Italy, 14 November 2026. https://www.expatliving.it/articles/italy-spain-portugal-greece-regions-compared # Italy, Spain, Portugal or Greece? Compare the regions before you choose where to retire Thinking of retiring in southern Europe? Compare healthcare, climate, housing and community in the places you could actually live, using official regional data. When readers ask me whether Italy, Spain, Portugal or Greece is the best place to retire, I always want to ask one more question: **where in each country?** A life in Tuscany is not the same as a life in Sicily. Spain's Valencia region offers something different from Andalusia. Portugal's Algarve and Lisbon area are hardly interchangeable, and neither are Crete and the Athens area in Greece. Rather than choosing a winner from a country ranking, I recommend comparing a few regions that could genuinely fit the life you want. Our [Europe regional data explorer](https://www.expatliving.it/data/map/europe) brings together official European statistics on health, climate, housing and population. It won't make the decision for you, but it can help you narrow the search. ## Which regions are worth comparing for the life you want? These are starting points, not rankings or claims that the regions are equivalent. | If you're looking for... | Regions to explore | What to check | | --- | --- | --- | | Coastal life with access to services | Puglia, Valencia, Algarve, Crete | Winter transport, summer crowds, hospitals and year-round shops | | Historic towns and a quieter pace | Umbria, inland Andalusia, inland Portugal, parts of Crete | Car dependency, community and specialist care | | Culture, cities and airports | Tuscany, Valencia, Lisbon area, Attica | Housing costs, traffic and everyday transport | | More space on a housing budget | Abruzzo, Sicily, inland Andalusia, inland Greece | Property condition, winter heating and distance to services | The important question is not which region looks most impressive on a map. It is which one deserves a visit, and what you would need to find out when you get there. ## Would healthcare be convenient as well as good? I recommend comparing two indicators: **life expectancy at birth** and **active physicians per 1,000 residents**. Life expectancy can tell us something about broad health outcomes. It cannot predict your own lifespan or rate an individual hospital. Physician density is another useful clue, but it cannot tell you how quickly you can see a specialist or whether a doctor is accepting new patients. Start with our [European life expectancy map](https://www.expatliving.it/data/map/europe/eurostat-life-expectancy-nuts2) and [regional physician-density map](https://www.expatliving.it/data/map/europe/oecd-physicians-nuts2). For one concrete comparison, our published [Portugal versus southern Italy article](https://www.expatliving.it/articles/puglia-vs-portugal-retirement-cost) reports life expectancy of **83.2 years in Puglia and about 81.0 years in the Algarve**, with **5.0 and 4.3 physicians per 1,000 people**, respectively. These are regional measures from official statistical sources, not a guarantee of easier healthcare in any particular town. Once a region interests you, I would check the actual journey from a possible home to a hospital, pharmacy and relevant specialists. Could you still manage that journey if you stopped driving? ## The summer you love on vacation may not be the summer you want every year A sunny coast can be wonderful for a holiday and quite different to live in through July and August. Winter also deserves attention, especially if you are comparing a hill town with a coastal place. Our climate layers use **Copernicus ERA5-Land for 2015–2024**. Compare [July daily highs](https://www.expatliving.it/data/map/europe/era5-summer-high-nuts2) and [January daily lows](https://www.expatliving.it/data/map/europe/era5-winter-low-nuts2). These are averages for large regions. They cannot describe every neighborhood or every hot day. I recommend visiting the places on your shortlist in two different seasons, and asking to see actual heating and cooling bills before buying. ## What does the housing data really tell you? Cross-country housing comparisons are easy to misunderstand. Eurostat's [housing-cost overburden measure](https://www.expatliving.it/data/map/europe/eurostat-housing-cost-nuts2) describes the proportion of residents whose housing expenses exceed a defined share of disposable income. That is not a property-price listing, nor a calculation of what an American retiree would spend. Similarly, [regional disposable income](https://www.expatliving.it/data/map/europe) helps describe local economic conditions, not how far your particular pension will stretch. I would keep three questions separate: what would a home cost to buy or rent, how much would it cost to maintain, and what would remain after taxes and other commitments? Within Italy, our [OMI price explorer](https://www.expatliving.it/data/omi), using **2025 second-half data**, lets you look below regional averages at local residential price ranges. It is a useful reference, not a valuation of a home you might buy. ## Would it be easy to build a community? Moving abroad also means finding people and daily routines. The [regional foreign-born population map](https://www.expatliving.it/data/map/europe/oecd-foreign-born-share-nuts2) gives one clue about how international different regions are. In our published Portugal-versus-southern-Italy comparison, the foreign-born share is considerably higher in the Algarve and Greater Lisbon than in Puglia. For some people, an established international community is reassuring. Others prefer to learn the language and become part of a more local community. Neither is automatically better. I would ask a simple question: **who might you spend time with on an ordinary Tuesday?** Visit outside the peak tourist season, talk to residents and see how the place feels when you're not on vacation. ## These maps do not compare visas or tax eligibility The regional statistics help compare *places*. They do not establish whether you can move to a country, enroll in its public healthcare system or qualify for particular tax treatment. Italy, Spain, Portugal and Greece each have their own residency and tax rules. Americans may also continue to have US tax obligations after moving abroad. For Italy's special tax regimes, a town's appearance on a map does not mean that you qualify. I recommend checking the current requirements with official authorities and qualified immigration or cross-border tax professionals before relying on any financial assumption. ## Five questions to narrow your shortlist Once you've looked at the regional comparisons, I recommend choosing two or three places and asking: 1. **Can I picture an ordinary week here?** Consider errands, local friendships, transport and how often you would need a car. 2. **Would this place still work for me in ten or fifteen years?** Check medical access and practical mobility, not only scenery. 3. **What is the complete housing budget?** Include maintenance, heating, cooling, renovations and taxes. 4. **Have I experienced the weather outside the vacation season?** A winter visit may change your perspective. 5. **Could I realistically settle here?** Verify residency requirements, healthcare arrangements and income implications. I hope this helps you narrow a very big choice into a few places worth getting to know. The [Europe explorer](https://www.expatliving.it/data/map/europe) can help with the first comparison. The next step is to visit actual towns and decide what feels right for you. **If you're comparing Italy, Spain, Portugal and Greece, which two regions are on your shortlist, and what would make you feel at home there?** ## A note on the figures Our Europe layers draw on [Eurostat regional statistics](https://ec.europa.eu/eurostat/web/regions), [OECD regional indicators](https://www.oecd.org/en/topics/sub-issues/regional-statistics.html) and [Copernicus ERA5-Land](https://cds.climate.copernicus.eu/datasets/reanalysis-era5-land-monthly-means). Most comparisons use **NUTS 2 regions**, which cover far more than one town. Years and coverage differ by indicator, and missing values are not zero. Small statistical gaps are not reliable rankings. The climate period is **2015–2024**; the Italian OMI housing vintage mentioned here is **2025H2**. For the Puglia–Algarve figures, see the original [Portugal comparison](https://www.expatliving.it/articles/puglia-vs-portugal-retirement-cost) and its source notes. ## Data behind this piece - [Eurostat NUTS-level Europe map](https://www.expatliving.it/data/map/europe). NUTS 2 (region-equivalent) / NUTS 3 (province-equivalent), EU + UK + candidate countries - [Life expectancy at birth, by NUTS 2 region](https://www.expatliving.it/data/map/europe/eurostat-life-expectancy-nuts2). NUTS 2 (region-equivalent) / NUTS 3 (province-equivalent), EU + UK + candidate countries - [Active physicians per 1,000 population, by NUTS 2 region](https://www.expatliving.it/data/map/europe/oecd-physicians-nuts2). TL2 ≈ NUTS 2 region / TL3 ≈ NUTS 3 province, OECD members only (no Albania — not a member; France and the UK partial on several layers — see each layer's own coverage note) - [Average July daily maximum temperature, by NUTS 2 region (2015–2024)](https://www.expatliving.it/data/map/europe/era5-summer-high-nuts2). Italy: ~9km (0.1°) grid, nearest cell per comune centroid. Europe: same grid, area-averaged within each NUTS 2 region's own boundary - [Average January daily minimum temperature, by NUTS 2 region (2015–2024)](https://www.expatliving.it/data/map/europe/era5-winter-low-nuts2). Italy: ~9km (0.1°) grid, nearest cell per comune centroid. Europe: same grid, area-averaged within each NUTS 2 region's own boundary - [Housing cost overburden rate, by NUTS 2 region](https://www.expatliving.it/data/map/europe/eurostat-housing-cost-nuts2). NUTS 2 (region-equivalent) / NUTS 3 (province-equivalent), EU + UK + candidate countries - [Disposable household income per capita, by NUTS 2 region](https://www.expatliving.it/data/map/europe/oecd-disposable-income-nuts2). TL2 ≈ NUTS 2 region / TL3 ≈ NUTS 3 province, OECD members only (no Albania — not a member; France and the UK partial on several layers — see each layer's own coverage note) - [Foreign-born population share, by NUTS 2 region](https://www.expatliving.it/data/map/europe/oecd-foreign-born-share-nuts2). TL2 ≈ NUTS 2 region / TL3 ≈ NUTS 3 province, OECD members only (no Albania — not a member; France and the UK partial on several layers — see each layer's own coverage note) --- Free to use with credit: cite Expat Living Italy and link to the article. Cite as: “Italy, Spain, Portugal or Greece? Compare the regions before you choose where to retire” by Caitlin, Expat Living Italy, 14 November 2026. https://www.expatliving.it/articles/italy-spain-portugal-greece-regions-compared