We just watched a series of videos from an ex-pat family in Cuenca discussing negatives and how conditions have changed. Here is my take-away from the videos:
The diesel buses are very objectionable, but this is improving. A light-rail system should now be up and operational (completed June 2015). Diesel buses have to be replaced with electric or propane vehicles when they die.
The internet has made significant gains in reliability in the last few years. It may not yet be up to what we have here. I think it will be tolerable. This is something we will need to pay attention to during our visit.
I believe women are second-class citizens in Ecuador. Being treated as a lesser person bothers me. I need to determine just now much of an issue this will be.