Get Your Global Health Insurance Quote Today! by West Coast Global Insurance Services published on 2022-04-08T08:25:13Z San Miguel de Allende is a welcoming community for foreign nationals. As an American expat, communicating with people will be the least of your concerns since many locals are good English speakers. The healthcare professionals in the city are also fluent in English — so you can be confident that you will be in good hands if you need medical services or treatment when you are in Mexico.