Medical care varies in quality.
Supplemental medical insurance with overseas coverage, including medical evacuation, useful. US citizens have not been targeted but in Feb. 1997, several US-franchised restaurants received grenade attacks. Attacks, which occurred during business hours, caused no injuries or loss of life. Tropical, with cooler, more temperate weather in mountains. North coast very hot with rain throughout year, and though offshore breezes temper climate, sun very strong.