Costa Rica patients can save almost 70% for the costs of most procedures of the same quality mainly because of the difference in how Costa Rica treats malpractice. In the United States the propensity to sue for the slightest misfortune with the hope of high monetary rewards has become the norm. Costs have skyrocketed due to the tort system especially in the United States. Ultimately these costs are passed on to the consumer trough high fees by the care givers. In order for the average doctor to protect themselves from these types of lawsuits they must pay exorbitant fees for malpractice insurance. An obstetrician in Florida for example must pay two hundred thousand per year in insurance before taking a dime for themselves. These costs are of course passed on to the patient in an ever upward spiraling cost structure epitomized by the United states.
In Costa Rica there are no big payoffs and very few people sue for malpractice. The Costa Rican court system holds proving malpractice to a much higher standard than the U.S. because in Costa Rica malpractice is a crime punishable by a prison sentence. This type legal structure is a great disincentive both for malpractice, and absurd claims of damages that have destroyed the sense of balance in the US system.