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Panama is definitely growing as a first-choice destination for medical tourism. For one, Panama City is leagues ahead of Costa Rica`s capital of San José in terms of modernity and infrastructure. Costa Rican private hospitals have invested a considerable amount of time and money into attracting people from the United States looking for inexpensive dental and cosmetic surgery. San José, however, is congested, hard to get around and noticeably more expensive in terms of cabs and food. Panama City also has the upper hand in having ocean views for a relaxing, tropical recovery. The Punta Pacifica Hospital is a Johns Hopkins affiliated facility with some of the best doctors in the Americas. With the impending health reform in the US, the Panamanian Government expects medical tourism in the country to jump from 65-80,000 annual patients to 500-700,000.