Costa Rica Health Care System’s Problems

[quote=”Scott”]Here’s an excellent English summary of the problems faced by the CAJA – Costa Rica’s health care system….

[ http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)60380-8/fulltext ]

Please copy and paste the full website address in your browsers window… [/quote] [b]Note:[/b] It was necessary for me to do a reply with quote in order to copy the full URL.

Part of the problem is that management exceeds its level of competence with managers getting into positions which they are not competent to handle.

As with any bureaucracy there are probably those who have found ways to enrich themselves at the expense of the system.

This is another instance of the overwhelming effect of what goes on in the U.S. affecting many other countries. The world-wide recession has cut tourism in Costa Rica and the associated income of the nation.

The pay scale for medical staff is depressed in the Caja system but the idea of providing pay increases totalling 45% over a period of two years borders on insanity. The more realistic 6.4% may be a little short of providing more than the rate of inflation but it is fair.

When you consider that the average Tico employee and employer pay a combined 31% (around 70,000 colones) in to the Caja the cost to expats is minimal. I would expect to see increases in the cost of Caja for expats particularly for deals like those offered by ARCR are concerned.

I would also like to thank organizations like the [b]Women’s Club of Costa Rica[/b] for their generous donations of technology to the Caja system.