Wilbur has about answered most all your questions.

with the trawler. Is there an American friendly country with cheap
fuel, good health care and low expenses? Thanks everyone.

Wilbur missed addressing the question of American-friendly countries.
Take a look at:
http://pewresearch.org/pubs/524/glob...rs-and-leaders

You get to take your pick of the remaining America-friendly countries.
The leaders of the pack include such great cruising destinations as:
Cote d'Ivoire, Kenya, Ghana, Mali, Nigeria, India ...

Pew's more recent research suggests that America-friendliness is up in
Nigeria and India. And fuel is right cheap in Nigeria. So there you
go!

Cheers