Regarding Costa Rica's public health care system, I have belonged to the CAJA for 19 years. The cost based on income is affordable. I pay on a voluntary basis. I pay per month. I receive all medical treatment and prescriptions without additional cost. However I supplement CAJA care with private specialists such as my dentist and ophthalmologist. I pay for eyeglasses myself. These services are available through the CAJA but I prefer having my choice of providers in these cases. Lynda Page