Some of your questions answered...
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1. What is the difference between a spa and a hot tub?
Nowadays - nothing. Originally, a spa was made from acrylic or other type of thermoplastic.  A tub was a wooden tank made from redwood/cedar or other similar wood.  Both had therapy jets, pump and heater.  Both were designed for relaxation.

2.  What are the health benefits?
Relief from tension, aching muscles, promotion of better sleep and relaxation. Studies show that soaking for 30 minutes per day benefits certain types of diabetics and reduces the amount of insulin required.  A spa will also benefit people suffering from arthritis, by helping to improve flexibility, range of motion and easing pain.

3.  Should a spa be located inside or out?
Your choice.  Most popular is outdoors, where you can relax under the stars and savour soaking in warm swirling water.  If you choose to position your spa inside, you must take into consideration the access (are the openings large enough), the weight of the spa and ventilation.  Remember - a spa will produce a lot of steam.