(Bloomberg) -- How the mighty have fallen. And fallen again.
The appeal of the U.S. as a destination for expatriates slid for the fifth consecutive year, to No. 47 out of 68 countries, dragged down by a steadily deteriorating reputation for safety and a perceived lack of affordable health care.
Just five years ago, the U.S. held the fifth slot in the annual Expat Insider survey by Munich-based InterNations, a network of 3.2 million expatriates. The annual survey of more than 18,000 expats representing 178 nationalities covers everything from the cost of education and child care to family life, career prospects and perceptions of safety and political stability.
Two-thirds of expats in the U.S. view job opportunities positively, but for the first time America placed among the 15 countries deemed the least safe and secure. Just 17 percent rated the personal safety of their children as “very good,” compared with a global average of 44 percent. Expats are “afraid of gun violence,” said Malte Zeeck, a founder and co-chief executive of InterNations.
Bahrain tops the list for the second year in a row. The nation got high rankings for the ease of settling in, among other things. Taiwan gained two spots to move into second place, with strong marks for job prospects and quality of life. Ecuador, where a massive earthquake in 2016 likely affected expat rankings in 2017, leapt from No. 25 to No. 3, showing improvement in just about every category.
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