What do expats find most challenging?

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

Other Questions:

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