Medical care is of a high standard, for a self-contained community of 50,000. Besides a fully equipped government hospital and dental clinic, there is one private hospital and dozens of private doctors, dentists and pharmacists. Oh, and a small govt hospital even on the second island, which has only 1500 people or so. Basic medical insurance is compulsory for all residents. Expats with only the basic coverage usually fly to Jamaica or Cuba. Arrangements exist with large hospitals in Florida and certain other US states for complicated surgery or other treatment.
(I had my first cataract removed in Florida, and the second one done here. They were equally effective; the local one was more expensive. My wife flew to Miami for her breast-cancer radiation, but the lumpectomy was done here. We get all our dental work done here.)