We have excellent medical care here on the island. Our personal physician and dentist are here. I have made use of the SMMC emergency room and been a patient in the hospital with very good care each time. In the emergency room I was there several hours before they even asked my name, let alone how I was going to pay.
What we do NOT have are specialists. Our excellent care has a limit and our doctors know it. Patients are sent overseas all the time, that's the way it works on a small rock.
Happened to me in the past few months and headed to Grand Cayman on the advice of my family physician here. One of several suggestions.
Most expats carry emergency evacuation insurance to cover the prohibitive costs of THAT scenario.
We have a full dialysis clinic at SMMC
http://smmc.sx/Services/Medical-Services/Dialysis-ClinicOh, and I've been told by TWO doctors on the island to avoid the hospital in Guadelupe at all cost.
