What do expats find most challenging?

We asked expats and digital nomads what they find the most challenging about the local culture in Massachusetts. They wrote...

Other Questions:

•  What should I pack when moving to Massachusetts?
•  Where should I setup a bank account in Massachusetts?
•  Will I be able to find a job in Massachusetts?
•  What is life like in Massachusetts?
•  What do expats in Massachusetts appreciate most about the local culture?
•  What do expats find most challenging?
•  Is there a lot of crime in Massachusetts?
•  Is there a lot of diversity? Are people in Massachusetts accepting of differences?
•  What are the schools in Massachusetts like?
•  What are healthcare services like in Massachusetts?
•  What are medical services in Massachusetts like?
•  Are healthcare and health insurance expensive in Massachusetts?
•  What are emergency services like in Massachusetts?
•  Will I need to travel to see a specialist?
•  Are common prescription medications available in Massachusetts?
•  How are local medical facilities in Massachusetts?
•  As a foreigner living in Massachusetts, will I have access to public healthcare? What is it like?
•  What have your experiences during the pandemic with the local healthcare system been like?