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Would those areas have english language TV .. perhaps by satellite?
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Yes, mostly. But if you go really rural, you'll want to learn Spanish anyway -- and TV is a great learning device. I recommend the novelas. :-)
As far as the comment about the road to El Valle: He's right, but I think driving
anywhere in Panama is an adventure, not for the faint-of heart. Even on the "superhighway" (the Transamerica or Panamerica), Panamanians' driving style is alternately aggressive and uncaring. My favorite: the busses. I'm convinced Panama eases prison crowding by putting all the homicidal maniacs behind the wheels of devil-may-care, hell-in-a-handbasket busses...