By treaty it accepts the guidance of India in foreign affairs. Facilities for tourism are limited. Tourists are admitted only in groups by prearrangement with Bhutan's Ministry of Tourism. A passport and visa are required. Medical facilities in Bhutan are limited.
Some medicine is in short supply.
Doctors and clinics often require immediate cash payment for health services. As U.S. medical insurance is not always valid outside the United States, supplemental medical insurance with specific overseas coverage, including medical evacuation, has proved helpful. However, some pickpocketing and purse snatching has been reported. The loss or theft of a U.S. passport abroad should be reported immediately to local police and the nearest U.S. embassy or consulate. Useful information on safeguarding valuables, protecting personal security, and other matters while traveling abroad is provided in the Department of State pamphlets.