Healthcare system
Operation of the healthcare system in Panama
Health centers are established in all urban municipalities, and despite the Pan American Health Organization noting a lesser presence in rural areas, access to care remains relatively uniform. However, the quality of care, especially for specialties, varies greatly across the country. This public system operates alongside a well-established private healthcare system.
Public healthcare system operation
The Panamanian public healthcare system is managed by two entities. Firstly, the Ministry of Health (MINSA), which ensures equity and quality, coordinates assistance in Health Centers, including for foreigners. Secondly, the Social Security Fund (CSS) regulates work-related and pension insurances and provides access to maternity and illness services in its health centers spread across the country. While not free, healthcare services remain accessible to the majority of the population, both nationals and foreigners. A contribution system through employment exists, but specialized staff intervene to adjust payment modalities when solvency is lacking, ensuring continuity of care even in financial difficulty. Panama has made significant progress in healthcare over the last twenty years, focusing on improving quality and access. The system is often cited as one of the best in Central America, although disparities exist between urban and rural areas in terms of availability and quality of care.
Private healthcare system operation
Alongside the public system, Panama has renowned clinics and private practices in major cities, generally considered of higher quality. In addition to the attention and quality of services, private clinics have better infrastructure, and it is easier and faster to receive treatment in this system. In Panama City, Colón, or David, you will often find English-speaking doctors trained at top international universities.
The services offered by these establishments are accessible by paying or are reimbursed, in whole or in part, by private health insurance or supplementary health insurance. Although only 10% of Panamanians have such insurance, many expatriates opt for this route. Most French-speaking emigrants or expatriates choose a supplementary health insurance from their home country that is compatible. However, if you plan to settle in the country permanently, it is advisable to inquire about local insurance, which often offers more advantageous rates and better coverage.
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