
Here in San Juan del Sur, we have a chiropractor and a physiotherapist who are American-trained but there are no American-trained general practitioners in San Juan del Sur that I know of. There are only Cuban and Nicaraguan-trained doctors in San Juan del Sur.
Healthcare in Nicaragua is a little different than healthcare in Canada or the United States. There are two healthcare systems here in Nicaragua: one is public and is free for everyone, and the other one is private. With the public healthcare system, I can go to the local health center and it will cost me nothing to meet with the doctor to have any care that’s needed. For example, if I have an injury or if I need to get anything stitched up, that’s all free and not an issue. The facilities in the public healthcare system aren’t going to be as clean or as nice as what you’d be used to in North America, though.
If I had something a little more major that I wanted to get checked out, there are larger hospitals in Granada and Managua. The larger hospitals in Managua are probably better than most hospitals in North America, and they offer incredible service and low costs. As an expat in Nicaragua, I’m not at all concerned about not having adequate healthcare here. I’m from Canada so I’ve always had free healthcare.
A couple of months ago, I went down to the pharmacy here in San Juan del Sur that’s owned by a doctor because I’d had a sore throat for a few days. I walked in and said, “Hey, Francisco. What is this?” I open my mouth, he looks in and says, “That’s strep throat.” He asked his wife to get me some antibiotics and five minutes and $3 later I’m back on the streets with what I need to cover a strep throat. It’s just so easy most times.
That’s what everyone can expect here in San Juan del Sur. We’ve helped just about a hundred families in the last two years move to San Juan del Sur, and we would always introduce them to the doctor and to the pharmacy.
Almost every drug is over-the-counter here in San Juan del Sur. The few things that are prescription are usually heavy pain killers, but the doctor is there and he can meet with you in his clinic to get you fully checked out for $10. If it’s something simple like when I’m showing him a rash, he’ll just let me know what cream I need or what medicine I need to take. He’s always there for that.
Here in San Juan del Sur, I usually walk into a doctor’s clinic and walk out in two minutes and I have what I need. It’s phenomenal. In Canada, on the other hand, I might have to wait a week to make an appointment to go see my family doctor. If I had strep throat, it’s going to be so bad in a week that I’d probably have to go wait in the Emergency Room for a few hours to see a doctor. Although it’s not going to cost me anything in Canada, it’s going to cost me a day of my time. Here in San Juan del Sur, it’s going to cost me about two minutes of my time and almost nothing for medication.
(Pharmacist at Farmacia El Rosario, Granada, Nicaragua, pictured.)