Using Both Health Systems in Costa Rica

The public health system in Costa Rica is one of the best in the world, but as in other good systems there are occasionally delays for many reasons with an overload of patients and one always has the option to go to a private doctor at your own expense. Once Covid was over, when I had to use a private oncologist for my surgery and radiation treatment because our hospitals here were packed with Covid patients, I then moved all my medical treatment to the public system in 2022 and have been happy with everything done “for free” (really for a monthly Social Security fee you must pay whether used or not.) There are no co-pays, no insurance forms and everything is included, even my medications that I pick up monthly at my local “CAJA Costarricense Seguro Social Farmacia.” I’m pleased with the public health system here, even if sometimes slow.

My latest cancer surgery was in November with my Public Provincial Dermatologist removing a cancer from my nose. Excellent surgery with absolutely no scar! But, that dermatologist in Hospital San Rafael de Alajuela gave me my next appointment to be in April 2026 and I had other non-cancer issues I really wanted to take care of earlier. So, I decided to exercise my freedom of going to a private doctor and my Public ENT Oncologist at Hospital Mexico de San Jose, who is monitoring any possible spread of my big cancer, agreed that the other issues would be better if handled earlier and he recommended Dr. Arturo Soto in the private Tabush Dermatologia Center in Escazu (feature photo of building). Here is my report with 3 before & after face photos . . .

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Little Theater in San Jose

Frank Z had better photos than me, so I’m leading with his!
I know! I’m always talking! And usually on the front row!
Frank capture part of the group very well.
There is another smaller wing of seating.
Little Theater, San Jose

For more photos, see my Little Theater photo gallery.
The play this time was actually 4 monologues titled “True Reflections” written by British Playwright Alan Bennett and acted by 4 professional actresses from England living here. They covered 4 serious subjects about aging with both seriousness and that subtle British humor. Very well done as they dealt with alzheimer’s, death of spouse, change in living situation, and a sort of an affair. 
This was my 3rd time to see one of the Little Theater plays and all have been exceptionally well done or very professional. It is one of the regular “trips” for our Atenas expat’s group. 
Retired in Costa Rica
¡Pura Vida!

Central Valley Day 1

Whew! Sitting in a seminar for two days was tiring, but a full day of touring was just as much so but more fun! We circled through all the neighborhoods and important places for living of San Jose then into suburbs of Rohrmoser, Escazu, Santa Anna, Heredia, Barva, and San Rafael. We saw a large house with a grand view (photo) that is now a boutique hotel plus inside a North American style suburban neighborhood home with two-car garage that was for sale. At the hotel we had tropical fruits and a short Spanish lesson. Then we had lunch at a place where the chicken is roasted over a wood fire using coffee tree wood. Nice! We had our “farewell banquet” a night early tonight and exchanged emails. And oh yes, we went to one of the largest Saturday Farmers’ Markets near Escazu in Rohrmoser and a big Walmart that had marimba players entertaining. Great! Here’s just a few of the photos from today:

The August 2014 Live In Costa Rica Tour Group of 17
Group at Hotel Posada el Quijote
Autopista from Escazu Walmart
 The multi-lane is only in the city and to airport with rest of country two-lane highways.
Marimba Entertainers at Escazu Walmart

View of Central Valley from Posada el Quijote
And oh yes . . .
Rohmorser Saturday Farmers’ Market