What if we don't speak any language other than English? Is it difficult to live and work there as such?
Working there is a different story, but generally you don't want to work there since the reason they're cheap is that the people are poor. The local jobs are low paid. The trick is to be able to work remotely or more rarely as a well paid employee of a foreign company.
Food has labels in English, restaurants and everything else, because of tourism, are very English oriented. It's a great place for foreigners.