What the US can learn from Costa Rica about national health care
This is an article from Examiner.com
I have been a long time resident and am very close to how things work in medicine here. At the same time, I am also aware of disgruntled people who would criticize this article profusely.
On balance with that, I personally know of cases of maternity, bypass , appendix, Laparoscopic surgery and much more that have been done very successfully.
Things require perspective and one needs to understand how the system works before you can fairly evaluate whether it is for you. For example, people with chronic care needs have to schedule their appointments well in advance according to the frequency they require care. Emergencies are always dealt with quickly.
Many people use their own private care physician and have the public insurance for long term hospital care. It is kind of like catastrophic policy.
When you take into account, your income and the fact that this is so cheap, it might just be worth your while to understand how to utilize this system for your own benefit. Some of the older Hospitals are very crowded and busy. This may not be right for most people. However, some of the new public Hospitals are very nice and well equipped to give good service.
When we at Costa Rica Retirement Vacation Properties have clients coming to reside here and their need is public health care, we make sure we locate them in an area whereby they can qualify for one of the new Hospitals.
Anyway, here is the article, read on….
Costa Rica, a small developing country of 4.6 million people, in Central America, surprised many people by having a health care ranking by the World Health Organization higher than the United States. The life expectancy of people in Costa Rica is higher than the U.S. and the infant mortality rate is approximately the same. What is incredible is they are spending $6,000 less per capita than the U.S. and they are covering all of the people.
The Costa Rican Social Security System was started in 1941, by President Rafael Angel Calderón Guardia, a Costa Rican physician, who was educated in Europe. He modeled the program after the one in Chile.
As in the U.S. now, the Costa Rica national health care system was strongly opposed by doctors, employers and pharmacies at the time. There were concerns, just like in the US that it would eliminate private medicine and related businesses. However, the government of Costa Rica had the courage to move ahead and coverage was gradually expanded. Each step was met with complaints that it would eliminate private medicine.
The Caja, the name of the Costa Rican national health care program, is funded for the most part by employers who pay 9.25 percent into the social security system and employees who pay 5.5 percent. The government provides only for the 17 percent of people that live below the poverty line.
Costa Rica also offers a private option, which primarily serves the upper middle and upper class. The cost is approximately $800. a year depending on age and medical condition. This allows them to avoid the wait time associated with the Caja. They have found, in order to compete with the public system, that private practices are keeping their rates low.
Is the Caja perfect? Absolutely not and they are working to make it better. There are wait times for non-emergency care. An example is a man who has waited 35 days for hip replacement surgery. The country is also working to expand services in rural communities making it unnecessary to come to San Jose, the capital, for treatment. However with these problems, the Costa Rican people are justifiably proud of their health care system which provides high quality, the latest technology and doctors who divide their time between private and public sectors of health care.
Chrissie Long of the Tico Times, the leading English-language newspaper is doing an excellent in-depth analysis of Caja. In her interviews she found that while people interviewed in Costa Rica voiced concerns about delays, they would not trade their system for the one in the U.S. A doctor she interviewed, Danilo González stated, “Anyone – anyone can receive care in Costa Rica, and they’ll receive the best care available in the country. In the United States (what happens) if you don’t have insurance and can’t pay? Out the door. You are left to die in the streets. “
Rosa Climent, the director of the day to day operations of the Costa Rica Social Security System stated the biggest obstacle to the U.S implementing national health care was the lack of solidarity. Referring to the U.S., she stated, “They don’t have the same commitment to solidarity. We have a culture of solidarity in our country, in which people with more economic means, take care of those with less.”
If you are contemplating Costa Rica Retirement and medical care is an issue with you, please contact Robert at 1 888 581 1786 and we will be happy to assist you in any way.
Medical care is one of the things we cover extensively on our Lifestyle & Property Tours





November 18th, 2009 at 12:29 pm
My recent experience: Two days after our tour in July ended, I went to the Clinica Biblica in San Jose, a large private hospital in Costa Rica for an “Executive Check Up”. I arrived at 7:30 am and was checked in. Within a few minutes after arrival I was already being seen. My day started at the lab giving blood for analysis as well as urine, followed by a general physical exam. Minutes later I was having a chest plate X-Ray as well as a bone density scan. The equipment used was all the same as we’d use in the states, Ultrasound equipment by Siemens, X-Ray machines by GE, everything I was used to. Many of the doctors and lab assistants spoke multiple languages and I as escorted throughout the day by a translator for the few instances when the doctor did not speak English. Next I had a number of ultrasounds done to view all my vital organs, then off to the Endoscopy clinic. I opted for full anesthesia for both the Endoscopy and Colonoscopy. Next they fed me a great chicken dinner (I never remember putting my clothes back on but the next thing I remember I was in the cafeteria eating lunch) and then I was off to a sound proof room for the most extensive hearing test I’ve every had in my life, followed by a complete eye exam. Next I met with a nutritionist who by then had the results of my blood work and urine, as well as a complete medical record with my chest X-Ray, bone density results, a complete set of color photos of the inside of my colon, stomach, esophages, photos of nearly all of my organs. He reviewed the results of all and reviewed my diet and exercise routine, with suggestions on where I could improve. I then visited with the chief resident doctor of the program who again reviewed my completed results. I learned that I suffer from osteoporosis as well as small ulcers in my upper GI tract from acid reflux. He prescribed medications as well as suggestions on how to treat these issues holistically. I walked out of the hospital before 3:00 pm on the same day with all results in hand, a medical history summary, all lab results, X-Rays and full color images. Total cost for the all procedures was $1100 US. According to Blue Cross Blue Shield, an average cost of a Colonoscopy in the US is over $3000! In summary: My experience was incredible. I did not wait more than 5 minutes between each test or procedure. My experience with doctors in the US is that we are treated by them as an enemy who they must guard themselves against due to the risk of malpractice and litigation. On the contrary however on this day in Costa Rica the doctors all explained to me what they were doing and why. They talked to me like a friend, were very thorough and I did not feel rushed. What I realized most was how broken our health care system really is in the United States. see more on our blog at http://www.PacificLots.com/Costa-Rica-Blog/
January 28th, 2010 at 5:20 pm
Thank you for reinforcing our story about Costa rica’s great health care and the courtesy that is always extended.
March 3rd, 2010 at 3:41 pm
Very interesting information about health care in Costa Rica, is a small country but I think that is perfect.