No motivations for or perpetrators of these attacks have been identified. Medical care varies in quality. Doctors and hospitals often expect immediate cash payment for health services. U.S. medical insurance is not always valid outside the United States. In some cases, supplemental medical insurance with specific overseas coverage, including medical evacuation, has proven useful.
Street crime is the principal concern.
Thefts in urban and coastal recreational areas, including purse snatching, pickpocketing and armed robberies, are on the rise. Displaying jewelry or large amounts of money increases the risks of robbery. Highway robberies and armed carjackings have been a particular problem, and there have also been incidents of home and yacht burglaries. Tourists have been targeted by criminals in certain areas of San Pedro Sula and Tegucigalpa. Americans should exercise extra caution in and around deserted coastal areas, and should avoid walking on lonely or isolated beaches, especially at night.