Can you live in the Cayman Islands as a US citizen?

Yes, but Cayman is not an easy place to immigrate to. US citizens can visit for up to six months as a tourist within any 12-month period, then must leave. Long-term residence requires one of several permits: an employer-sponsored work permit (the most common route, tied to a specific job), a Residency Certificate for Persons of Independent Means (requires roughly US$1.2m of Cayman property plus proof of substantial income), or the Certificate of Permanent Residence after eight years of legal residency. Healthcare cover is mandatory. Cayman levies no personal income tax, no capital gains tax, and no estate tax, which partially offsets the high cost of living ($3,800 per person per month, moderate). For the full picture, see our Cayman Islands cost of living page.