costa rica also has the national observatory for human resources in health observatorio nacional de recursos humanos en salud to monitor workforce trends and support dialogue between professional associations the ministry of health the ccss private employers academics and other stakeholders however existing estimates are built mainly on feasibility ccss concerns regarding training space or political colegio medico considerations rather than a forecast of anticipated needs and demands and a simulation of the necessary profiles and possible reform scenarios that would lead to a set of human resources better suited to resolve main challenges in the system such as the long waiting lists for health services for each indicator a national target is set