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Costa Rica's
Health Care System

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The Healing Force of
Nature

Statistics from
the World Health Organization's "The
World
Health
Report 1995" place Costa Rica
third, in
life expectancy in the world, sandwiched neatly behind
Japan and France and ahead of Great Britain
and
the United States; and with a per capita income
about one tenth
that of the other four.
Certainly, some reasons for this can be found in the
Costa Rican laid back lifestyle,
the healthy, fresh, non-preservative laden foods of the country, the
tropical
climate Costa Rica seems to be a healthy place to live.

But if one looks simply at the life issues, so are many
other
places on the
globe. Costa Rica is a healthy place to live, because its government
continues a
long-time commitment to affordable access to one
of the finest health care systems
in the world, for each
and every citizen.
• Prescriptions
are not needed on most products in
Costa Rica.
• You can take a 90-day supply back to the USA.
• You'll save
up to 80%, compared to U.S. drugstores.
In a United Nations study conducted in the 1980s,
Costa Rica's medical
system, was first in Latin
America
and ranked near the United States and
Canada, among the 20 best in the world. Things
are pretty much the same
today.
Costa Rica's lack of a standing army and its
historical commitment to the
social and educational
welfare of its citizens, have provided the foundation,
for a "highly developed medical system, internationally
speaking" confirmed
by plastic surgeon, Dr. Arnoldo
Fournier.

He confirms, "It's not the surgeons
who have provided
this,
but the entire
history of our country, that gives us
this advantage."
Dr. Logino
Soto Pacheco, Chief of Surgery at
Hospital
Mexico, premier
cardiac surgeon in Costa Rica and
one of the foremost in the world,
claims
that, Costa Rica
is unique in its world position in health care.
"I have
studied every health care system in the
Americas, and I can assure
you that nowhere else
can compare to
what Costa Rica offers its citizens,"
he stated emphatically.

Who would doubt these words from the man who
assembled
the Costa Rican surgical team which performed the first
successful heart transplant in Latin America.
With a government - sponsored network, of 29 hospitals
and more than
250 clinics, throughout the country, the
Caja Costarricense de Seguro Social (CCSS) has
primary responsibility for providing low
cost, health
services, to
the
Costa Rican population.
Though presently somewhat overburdened, like most of the
Costa Rican infrastructure, this system has
worked well for Costa Ricans for the past 50
or
so years. Open not just to Ticos,
the CCSS provides
affordable medical service to any foreign resident
or visitor.
Foreigners living in Costa Rica, can
join the CCSS
by paying a small monthly
fee, based on their income
or they can buy health insurance, from the State monopoly
Instituto de Seguro Nacional (INS),
valid with over 200 affiliated
doctors, hospitals, labs and pharmacies, in the
private sector.

Two well-known private hospitals, Clinica Biblica and
Clinica Catolica,
where many CCSS doctors practice
in the afternoons and evenings, offer
first-class,
ultra modern services.
Affiliated with U.S.
hospitals, these two private
providers,
have costs
somewhat higher than
the public
providers, but still way below anything
found in the
States.
Most Costa Rican doctors and dentists
receive
their
basic medical training in Costa Rica. From
here, they travel far and wide,
seeking specialized
training from the
finest teaching hospitals in the
world, often becoming certified in their specialties,
in the countries
where
they
receive their advanced
training.
It is not uncommon to find a Costa Rican doctor
or dentist, speaking several languages, all learned,
while
pursuing advanced degrees in foreign countries.
Perhaps
it is the
CCSS work or the varied travel
and study
that does it, but
the caring expressed
by the doctors
and dentists,
throughout the country, is
noteworthy in its
extreme.
In 1991, two economists from the University of Costa Rica, conducted a survey,
of visitors to this country. Their
findings, documented in the study, indicated
that 14.25%
of all visitors, came for the express purpose, of receiving medical
care
of some type.
Over the years, Costa
Rica has attracted those
in search
of uplifting cosmetic surgery. People from
around the world, arrive daily to partake of the healing
waters in over 100
thermal and mineral
springs located here.
Dental work, from fillings to implants, is done
routinely on people from every
corner of the
world. Many people
from Latin America plan for their medical
needs from hip
replacement to
heart valve replacement to be taken
care of
by the well-trained and skillful physicians, in
Costa Rica, rather than in their
native countries.
Clearly then, not only does Costa Rica offer universal
health care coverage
to its citizens, but that same high
quality care is available for
people from
all over the
world.


Cosmetic &
Reconstructive Surgery

Costa Rica has long been a selected destination,
for those
in search of the
Fountain of Youth.
Although
The Fountain of Youth, has yet to be discovered,
the talented plastic and cosmetic surgeons of this country,
many schooled and board certified,
in
the
United States
and Europe, continue to provide the appearance
of such
to hundreds of satisfied, younger looking,
people.

Of the "medical tourists" documented in the UCR study,
previously
mentioned,
a large percentage came for cosmetic surgery, (dental and cardiovascular
procedures,
were a close second).
Doctor Carlos A. Centeno, well-known
Costa Rican
cosmetic surgeon, indicates that the number of medical tourists
increases each year.
Dr. Roberto Murillo, another established surgeon, related
that each of the
twenty-five
to thirty registered plastic
surgeons in
Costa Rica, averages seven
to eight medical tourists daily.

The full range of cosmetic and reconstructive surgery,
is available here, in
several modern
clinics. With the
recent addition of
contemporary laser technology, the
ability of Costa Rica's plastic and
cosmetic surgeons
to
provide world-class services, has been enhanced.
Procedures routinely offered by plastic surgeons in
Costa Rica, include:
Total and
partial face lifts or
reconstruction; tummy tucks, breast reduction, augmentation
and
reconstruction, liposuction, liposculpture, electrolysis,
for the permanent depilation of unwanted
hair; removal
of acne scars and other
skin
irregularities and many
other procedures to counteract aging
or enhance
beauty.
What nature has wrought, Costa
Rican plastic surgeons
are improving.
And they can improve nature's handiwork at a cost
more affordable than in
many other countries.
For
example, facial cosmetic surgery, (face lift),
according
to Dr. Centeno, the most commonly
performed
procedure
here, can
cost
from $6,000 to $12,000 in the
United States.
Comparable
surgery in Costa Rica, will cost between
$3,000 and $4,000,
including clinic
stay, medicines,
nursing care
and the surgery.
Most minor procedures are done on an ambulatory-care
basis,
requiring no hospitalization. Major procedures,
such
as some breast surgeries and
"tummy tucks," can
require
overnight hospitalizations, with the cost of the
room
included in the "package."
"Prices are sometimes 50% lower than in the United
States," stated a staff
person at Clinica
de Cirugia
Estetica, S.A., "but each case is
different and
prices
are quoted
on an individual basis, after
consultation
with the surgeon."
Even though each case is
different, Dr. Murillo
suggests
that many surgeries are 60% to
70% less expensive here,
than in the United States.

Non-elective reconstructive surgery, required as a
result
of an accident or
illness, leaving a
patient disfigured,
is performed as well and as skillfully.
Should this type of surgery be necessary, it is advisable
that a patient check
with his or her
private physician and insurance carrier at home, for
coordination and financing.

Dental Care & Surgery

From simple
fillings, to complicated multiple
implants
and periodontal work,
Costa Rican dentists
are as
qualified and skilled, as any to be found.
The
orthodontists have their own university programs
here and
the periodontists
hone their skills at various
teaching universities around the world.
Foreign patients, seeking periodontal work and
dental implants arrive
in
Costa
Rica in greater
numbers
monthly.
There is a group of about 20
dental
specialists: periodontists, oral surgeons, root
canal specialists, prosthodontics and orthodontists,
working
together to provide high quality,
specialized
dental care, for Ticos and foreigners
alike.
Cost per implant, is between $750 and $850.
Laboratory work here is much cheaper, but the
materials
used are all FDA
approved and imported
from the States.

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