Are healthcare and health insurance expensive in La Libertad?

"Healthcare and health insurance in La Libertad, can be considered expensive for the average citizen, especially when compared to their income levels. The public healthcare system is often overcrowded and under-resourced, leading many people to seek private healthcare services, which can be costly. Health insurance is not mandatory in El Salvador, and many people cannot afford it, leaving them to pay out-of-pocket for medical expenses. Additionally, the quality of healthcare services can vary greatly, with rural areas having limited access to quality care, further contributing to the overall expense of healthcare in the region," explained one expat living in La Libertad, El Salvador.