At the Costa Rica- Panama open border, I visited a coffee plantation and health service delivery system today with my job. Coffee pickers from Panama come stay on the Costa Rican farms from September to February. The Costa Rican health system comes out to the fields at night, when the pickers are available and gives vaccinations, medicine, toothbrushes, soap, health education, prenatal visits, weighs the children: primary health care. All for free and to non-citizens. Many of the Panamanians get their health care exclusively in Costa Rica during picking season. And they’re paid a fair wage, about $60 a day. It was amazing to visit and see.