Nicaragua's free universal health care system
In the crowded waiting room, my eyes focus on the feet walking past: unpainted toes in sandals, work boots, pedicures and high heels. I am in the melting pot that is Managua’s Fernando Vélez Paiz Hospital. Although it is a free public hospital, it is not just the poor who come here; it’s one of the largest and best-equipped hospitals in Nicaragua with a reputation for excellent service – even the wealthy seek care here.






