The limited response and enforcement capabilities of the Haitian national police and the judiciary frustrate crime victims. Mariners should note that Americans and other foreigners have reported the theft of yachts and sailboats along the Haitian coast over the past year. Some of the thefts were carried out by armed gangs, and one foreigner was killed. 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. U.S. citizens can refer to the Department of State's pamphlet, A Safe Trip Abroad , for ways to promote a more trouble-free journey.
Medical facilities are scarce and sub-standard.
Medical facilities outside the capital are generally 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. The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation. U.S. medical insurance plans seldom cover health costs incurred outside the United States unless supplemental coverage is purchased.