does Central America have hospitals and medical quality of “American standards”?
I am not expert, but what I have read John Hopkins is affiliated with a big hospital in Panama City and in Managua there is a first world hospital.
I read this site regularly because it has opinions by expats on the ground.
I am currently pricing dental and elective surgery and the prices are great and out of pocket. Hospitals in Panama have these discount programs.
Take and look and tell me your impression. We haven’t bought the tickets yet, but it does look good. And of course, if we go, I’ll report back.