The first thing to realize about Ecuadorian culture is that it is not one single culture. Instead it is a whole range of cultures mingled together, representing every level of this very stratified community.
Healthcare throughout Ecuador is of a very high standard. Many Doctors and Specialists speak English and treat you so well you could be forgiven for thinking you are living back in the 1950's. Generally a Doctors visit may set you back $20. They even make house calls when necessary. Specialist fees are around $30-$40.
Most Ecuadorian wines are sweet and made from grape, apple, peach or other fruit; however, some good, dry wines are now being locally produced. The cheapest way to enjoy it is from a cartón (yes, a box) from the local supermarket. Clos is a good brand. Fine wines from Chile, Argentina, France, Spain and Italy are also available.