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If one is living in Panama City, then you may not need a car as much as you think you do. If you plan on living somewhere that doesn't have as many taxi cabs but is still a nice city, like David, then by all means a car is necessary.
Same in the U.S., I don't need a car in D.C., but I'd be stranded if I didn't have one in San Diego or Colorado--there is no public transportation and everything is really far apart, too far apart to take cabs everywhere economically.
Cheers.
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