A few weeks ago I woke up with a sore throat. The next day we drove from our 4600 foot elevation to about 2500 feet and I got severe ear pressure. I could barely hear. When we drove back to a higher elevation the pressure went away but then I got blocked sinuses and started sneezing. Over the counter drugs did little good. By day 3, I was feeling miserable and finally went to a doctor in Boquete. I had no appointment but was seen right away. He looked in my ears, nose and throat and listened to my chest then told me I had a sinus and ear infection. He gave me antibiotics for a week and ear drops plus told me to continue taking the over the counter drugs.
I asked how much. I have international health insurance and was prepared to use it.
But, I was pleasantly surprised at his reply. $10 for the doctor visit, antibiotics and ear drops. Plus, he gave me his cell phone and said if I was not feeling better in a few days to call him. He makes house calls for $20.
Imagine getting that kind of service for that price in the USA!