You should check out Cedimat in Santo Domingo.........of course after covid19.Honestly, knowing both systems and being able to afford the Private Clinics here ; by choice based upon your question is unquestionably the DR,
On the other hand I do require specialized treatment on spine do to broken back from explosion 50 years ago. This is a Veterans Issue. Veterans Affairs Canada just told me that they would cover all costs for treatment done in DR. The choice is mine.
SO, I will be looking for a Neurologist who specializes in lower back nerve damage.