I lived in Costa Rica for five years. I found the doctors and dentists there equal in skill to USA and better in that they did not seem as rushed as here. I had a few minor dental work done there without any problems. Several of my friends had serious medical procedures done there - heart surgery, plastic surgery, etc - and were highly complimentary about the care received. CIMA is a first class hospital better than many in USA. And many of the doctors and dentists are from Costa Rica and return home after training and make a comfortable living without the stress and hassle of practicing here.
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