There have been many changes in Health Care during the more than twenty years I was absent from Guatemala. Certainly notably is the presence of an increase of doctors in the rural area. Diagnostic tests are much more common to confirm and to diagnose illness. The Clinica Maxena has grown as has the population. Health needs are much more complex but the poverty has increased and this complicates the health care of such a vast population. The Ministry of Health care system for the population has become less efficient and little improvement has been made in hospitals and the rural health care system by the government. The Catholic Church and other private health systems struggle to help the most poor with acute and chronic illness. Diabetes, Cancer, Tuberculosis, Malnutrition, AIDS, are the most acute illnesses and costly at this time for our Clinic.
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