Annual Reports

Measuring the Pressure: The Migration Stress Index of Expat Life in the US

A data-driven analysis of why expats in the United States are increasingly rethinking where to build their future, and how rising migration stress is reshaping global mobility decisions.

Annual Reports · 15 min read

Measuring the Pressure: The Migration Stress Index of Expat Life in the US
June 4, 2026

Why This Report Matters

The United States is no longer viewed as the default long-term destination for global talent. Rising living costs, visa uncertainty, healthcare pressure, and growing social polarization are pushing expats to rethink where stability can realistically be built.

This report introduces Get Golden Visa’s proprietary Migration Stress Index (MSI), a framework measuring the structural, economic, socio-cultural, and psychological pressures shaping outbound mobility from the US.

“What we are seeing is not relocation. It is reorientation. For many global families, Europe has quietly become the new center of gravity.”

Werner Gruner , Partner and the Portugal Director of Get Golden Visa

Key Findings

1

The Migration Stress Index Signals Structural Pressure

Get Golden Visa’s proprietary MSI framework scores expat migration pressure in the United States at 80/100, reflecting rising instability across immigration systems, affordability, social cohesion, and long-term future planning.

2

The Rise of “Plan B Families”

Second residency is increasingly being used not for relocation, but for continuity planning around healthcare, education access, mobility rights, and long-term family protection.

3

The Education Firewall Strategy

Among MENA families, nearly 45% of second residency applications are now tied primarily to children’s education and long-term stability concerns. Europe is increasingly treated as an “educational firewall” against US visa unpredictability.

4

Healthcare Has Become a Mobility Trigger

For remote professionals and skilled expats, healthcare affordability is no longer a secondary consideration. It is increasingly modeled directly into long-term relocation decisions and income planning.

5

Healthcare Anxiety Is Accelerating Mobility Decisions

Concerns around access to gender-affirming care, mental health support, insurance instability, and healthcare restrictions are becoming major push factors behind LGBTQ+ relocation planning.

6

Remote Work Is Accelerating Strategic Relocation

An estimated 75-80% of North American relocations to Europe between 2023 and 2025 were driven by US-based remote professionals.

Data Highlights

80/100
US Expat Migration Stress Index Score
63%
Increase in H-1B-related inquiries from 2024 to 2025
71%
Growth in D8-related accommodation demand from remote professionals
49%
Increase in Non-Lucrative & Digital Nomad visa applications since 2024
45%
of MENA second residency applications linked to children’s education needs
2.3x
Increase in relocation intent among remote-enabled professionals

Who is Leaving

Methodology

This report combines Get Golden Visa’s proprietary Migration Stress Index framework, internal lead-flow analysis, relocation intelligence, and behavioral segmentation models to measure outbound migration pressure among expat communities living in the United States.

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Reports published under Global Mobility Insights are provided for informational and research purposes only. They do not constitute legal, tax, financial, investment, or immigration advice. Program rules and market conditions may change, and individuals should seek independent professional advice before making any decision. Any third party referencing, quoting, reproducing, or using these reports should provide proper attribution to Global Mobility Insights by Get Golden Visa.

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