Keeping this DR related, the DR has "free" healthcare in its public hospitals, yet private clinics and hospitals abound.................wondering out loud why..........but knowing the answer.
Respectfully,
Playacaribe2
I'm glad to see the quotation marks around the word free.
I've been in some public hospitals in the province of Puerto Plata because of having helped several groups of medical professionals from the US to provide services there.
The bed is free as is the diagnosis by the doctor. Patients have to purchase the medications that are prescribed, along with other supplies such as gauze pads. Family members or friends stay with them to provide bedside care.
Often, patients lie on bare, plastic coated mattresses if sheets are not provided. On one trip I facilitated the doctors brought sheets with them to give to their patients so they didn't have to sleep on bare mattresses after surgery. One patient had her sheet stolen by a nurse who took it and told her it would be washed and returned. The sheet was not returned, of course.
I was a patient at Centro Medico Bournigal several times. Nurses there were accepting tips from patients' family members. All I can say to that is: "How unprofessional!."
I once helped the mother of two children who each had cleft lip and palate to obtain free corrective surgery in a hospital in LaRomana.
Unfortunately, the mother, who didn't have the money to travel to Santo Domingo for the evaluation of her children so that they would be accepted into the free program, was told that the surgery would be free but use of the OR would cost several thousand pesos (when the tasa was 15). We ended up raising money among the expats in Puerto Plata to defray that cost.
Free care in Dominican public hospitals isn't really free!