Medical Care and Options in Costa Rica

I was  diagnosed with cancer last year.

While I thought I had a pretty deep knowledge of medical care both private and public (my wife has been with Calderon Guardia hospital, the second largest CAJA hospital in CR, for 34 years), it turns out I was wrong.  In this post I will share some information on health care in this country and the stuff I have learned.

Medical care in Costa Rica is of interest to not only ex-pats living here or wannabe ex-pats with plans to live here…  but to the many thousands of tourists who visit Costa Rica every year for what is known as medical tourism. Medical tourism we can define as people who visit Costa Rica with the express intent of having various medical procedures done here with the expectation that those procedures may be far less expensive than those same services performed in their home country.  In general, those are realistic expectations, but things are changing.  Over the past several years, medical institutions here have learned the medical tourism is big business and they have responded as expected. There are basically two options here for receiving medical care.  Private (aka for profit) and public (aka the CAJA or socialized medicine). If this topic is of interest, please read on… Continue reading »

End of year? Marchamo time!

If you own a car here in Costa Rica, you probably already know what is marchamo. Marchamo is paid every December and gives you the right to take your car out of the garage (or wherever) and drive it in Costa Rica, i.e. “circulate”. There are over 1 million cars in Costa Rica.  The marchamo payment includes mandatory liability insurance, property tax, sales and other taxes and any traffic fines that you have failed to pay.  Depending on the age and model of your car, marchamo is by no means cheap. Interested in this topic?  Read On! Continue reading »

Duty Free Shopping in Golfito, Costa Rica

Occasionally I get submissions from other bloggers here in Costa Rica and sometimes, I hear about an article written by one of them that would be a great additions to The REAL Costa Rica Blog.  In this case, I contacted the author and requested permission to reprint one of their Blog articles. I got a really good deal from blogger Pat Wegner who writes Blog: Mi Chunche. Don’t bother looking up chunche as you likely will not find it.  It means, for lack of a better word, thing or thingy… maybe even whatchamacallit…  a damned fine and handy word to know if living in Costa Rica and you have no idea how to say some word in Spanish.  Great catchall word!

Anyway, Pat’s fine article appears below and explains the processes and procedures for making a trip to the Southern Zone to do some serious shopping, especially for appliances, electronics and other highly taxed items.  As you will read, it IS an investment in time and money, but if buying a ton of hard goods, can be a very cost saving trip.

Duty Free Shopping in Golfito By Pat Wegner

Have you ever considered a duty free shopping spree in the Pacific town of Golfito?  If this article is of interest, read on! Continue reading »

Gasoline Prices in Costa Rica – Just Stupid

Warning:  Rant coming!

Before we begin, the graphic left shows three sets of letters. Most of my readers know all three, but for those who do not, LOL = Laugh Out Loud.  OMG = Oh My God, and WTF= ummmm, well best to ask your kids or grand kids about WTF.

Very handy though!

In Costa Rica, we only have two types of gas, Regular (OMG) and Super (WTF).

Prices in Costa Rica have been sliding up for some time.  Food, of course is one, but that seems to be a world wide issue. I have already ranted about the transit laws and how much a parking ticket can cost, but the thing that really frosts my twinkle is the ridiculous price of gasoline and the seemingly never ending increases.

We just had another increase a few days ago, and now I am paying about $85.00 to fill my tank (Nissan Xtrail, a small SUV).

It has been a while since I actually calculated the price per gallon in dollars. As we use liters here and pay in colones, it takes a couple of calculations to convert to dollars but I have done so here as many of my readers are from North America and are more accustomed to price per gallon.

Below is a little chart showing the prices. If this topic interests you… read on!

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Bird Saves Dog – No Film at 11

One of the things about living in the tropics is that here we have animals, insects and reptiles that can hurt our pets… and people as well. This is not to say that this is not true in the US, but our threats are a bit different. I know friends who live in the Southwestern US who have lost pets to snakebites, and I know others living in the foothills around Los Angeles who must constantly be on guard against coyotes who will snatch a dog or cat if the opportunity presents itself.

We live in the central valley not far from San Jose  so we are not troubled by snakes or wild animals. We do get the occasional scorpion (venomous but not life threatening), the occasional tarantula, but not much more. Killer bees live here, of course, and once in a while there are news reports about an attack… seldom fatal. The poison darts frogs of Costa Rica are quite famous and we can see them all the time near the river on my wife’s property in Limon Province, but they are not found in the central valley. Folks living near the beaches or in other truly tropical areas have told me of brushing against or handling certain varieties of caterpillars that can cause amazingly serious and painful injuries.

Here though, and right in our back yard, we get toads.  Big fat fellows that emit a serious poison through their skin when threatened. I must say I completely underestimated the danger of this reptile, and my lack of understanding almost cost the life of our dog, Piro. She would be dead if not for our parrot (lora). a yellow naped Amazon.

If this story interests you, read on!

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Gasoline Prices Drop Again

Better late than never!  I wonder if there is such a thing as getting  “less screwed”.

While oil prices have dropped from the $145 per barrel levels of just a few months ago, to less than $36.00 per barrel, Costa Rica has been very slow adjusting gas prices here to reflect that decrease. Somebody is making some serious cash, and it is NOT me.  However, prices are due to come down this week.

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A Reader Asks About the Effects of CAFTA

Tonight I received a comment from a reader… and it pushed my rant button. I may be completely reading the comment incorrectly and assuming a wrong tone or meaning… and if I am, I apologize now… but the rant is still coming as I am replying to many others who I am sure I read correctly!

Here is her email, and if the topic interests you (and you can deal with my rant)… read on!

My family plans to relocate to Costa Rica, and I would like to know what your thoughts are regarding the recent activity by the Costa Rican Congress ending it’s 84 year old insurance, and telecom monopoly (CAFTA). How do you think this is going to effect the citizens of Costa Rica that have enjoyed a universal health care system, and what do you think the implications are for Americans residig in Costa Rica, that have been able to partake in this system?.

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Costa Rica Takes Action to Control Gasoline Usage Part 2

This week, the government of Costa Rica asked for an increase of ¢145 in the price of gasoline, this to offset their recent request to lower the price of diesel fuel by exempting diesel from government taxation.

The price of super gasoline would go up to ¢801 per liter and diesel prices would fall by ¢97. Gasoline today is $5.10 per gallon for super, $4.97 for regular and $4.82 for diesel. One US gallon = 3.79 liters, so after this change, a gallon of super will be ¢3,036 or $5.88. With the regular monthly increase coming in July, $6.00 per gallon gas is pretty much assured.

Currently, the cost for a gallon of diesel is $4.82, so this will drop to about $4.11. Sounds like a nice windfall for those who chose to buy dieseled vehicles right? Nope… the government giveth and the government taketh away.

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Costa Rica Takes Action to Control Gasoline Usage Part 1

For quite some time now, the government has placed restrictions on what vehicles could enter San Jose. This was more done to lessen the overwhelming traffic in San Jose during peak hours than to control gasoline usage. All non commercial vehicles were affected.

The system was/is simple enough. You were restricted from entering San Jose for about 2 hours each morning rush hour and two hours during the afternoon rush based on your license plate. For me it was rarely an issue, and when it was, I just drove the circunvalación, the road that runs around San Jose and locally known as “the rotundas” because of the numerous traffic circles in that route. Sometimes I’d drive the La Uruca route. No big deal.

Well this all changed this week as the government expanded enormously the restricted areas and the hours of restriction, and yesterday, over a thousand folks learned this the hard way and got a little $10 traffic citation for their ignorance.

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Gasoline Crosses $5.00 per Gallon Threshold

Today Costa Rica awoke to gas prices that now exceed $5.00 per US Gallon. Before I delve into this more, it is worthwhile discussing world gasoline prices.

Caution! Rant coming!

As most expats, I watch the current political battle for the Presidency of the United States. I watch as Barrack Obama and others make their stupid claims that they will “do something” about the price of gasoline in the US, now over $4.00 per gallon in 23 states. They just don’t get it. To me, it as is stupid as their claims that they will stem the outflow of jobs from the USA to other countries. I have news for them. The first will not happen without strong leadership and new ideas (which neither candidate has even remotely shown) and it is years too late the do anything about the second.

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