Friends returning from there say, all medications, including controlled substances, are available over the counter, not even behind the counter, without a prescription. Pharmacies even have home delivery. Hospitals with medication shortage of opiates tell families, go to the pharmacy, get some for your loved one. Prices are lower than in the United States for generic versions.
These countries have virtually no overdoses, certainly not an overdose crisis, as the US does.
Crime is on the rise in Costa Rica, once one of the safest countries in Central America. It is all being committed by illegal aliens from Jamaica, from Mexico, pouring in from their lightly guarded borders.
We should study and learn from their experiences.