There are shortages of goods and services throughout the country.
Haitian law requires a passport to enter.
In practice, officials frequently waive this requirement, if travelers have other documentation, such as a birth certificate, indicating they are United States citizens. Due to fraud concerns, however, airlines do not board passengers for return to the U.S. unless they are in possession of a valid passport. Medical facilities outside the capital are almost always below U.S. standards. Life-threatening emergencies may require evacuation by air ambulance at the patient's expense. Doctors and hospitals often expect immediate cash payment for health services.