It only takes 15 to 20 minutes to get to a medical facility, regardless of where you are in Managua, since we have several hospitals in and around Managua. Managua is a not a big city; it is only about 15 kilometers (about 9 miles) wide so in the event that you need to see a doctor, there are several hospitals where you can go. If you have an emergency, rest assured that you could get to a hospital within 10 minutes.
We have levels of healthcare here in Managua. We have public healthcare, where anybody, resident or non-resident can go; we have private clinics, which are very good; and we have hospitals, which are very good, too. There are people who are planning to retire and decide to come here to see a dentist or a specialty doctor because of the low fees that the doctors in Managua, charge. It is about 25% to 30% of what US doctors charge.
There are hospitals here in Managua that take in people with insurance. They sell the insurance here in Nicaragua to foreigners so that they can come here once or twice a year and have regular checkups for a fraction of what they would pay in the US. The two hospitals that are offering this type of service are Vivian Pellas Hospital and Hospital Bautista.
The doctors in Nicaragua go abroad to take a specialty after they finish from medical school because having a general degree in Nicaragua does not mean that much. Anyone can be a general surgeon, but many doctors in Nicaragua come with a specialty and there are even some with more than one specialty. I am confident in putting my life in their hands without second thoughts.