The tourism industry is not highly developed and has a very limited number of first-class tourist facilities, including hotels. Petty street crime occurs in Dominica. Valuables left unattended on beaches are subject to theft. Availability and use of illegal drugs are increasing. The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. embassy or consulate.
Medical care is limited.
Doctors and hospitals often expect immediate cash payment for health services. U.S. medical insurance is not always valid outside the U.S. U.S. Medicare and Medicaid programs do not provide payment for medical services outside the U.S. Uninsured travelers who require medical care overseas may face extreme difficulties. Please check with your own insurance company to confirm whether your policy applies overseas, including provision for medical evacuation. Please ascertain whether payment will be made to the overseas hospital or doctor or whether you will be reimbursed later for expenses that you incur. Some insurance policies also include coverage for psychiatric treatment and for disposition of remains in the event of death.