I spent the last Thursday to Sunday with the Red Cross unit here in Nosara. Here is some key background about healthcare in Nosara: Healthcare in Costa Rica is universal, provided by the state. Doctors and hospital services are allocated based on population size and density. In Nosara, a town with a fluctuating population (due to tourism) health service are few. The Red Cross (a non-governmental organization) set up to provide basic, essential, paramedic and emergency services. However, due to the lack of adequate healthcare in the region they have slowly become the main providers of health services in Nosara and surrounding areas. They cover everything from pregnancy, injuries, illness, even hospice services. The government only reimburses the Red Cross for emergency services and the organization itself survives on donations and volunteers. As a result, the Red Cross in Nosara has had to cut back on non-essential services in recent years. The people of Nosara put the blame on the Red Cross, in reality the government has failed to provide adequate healthcare to the people of Nosara and are content to let the Red Cross shoulder their blame.
Thursday: A simple affair, I followed Victor Hugo, a full-time paramedic, as he went about his evening shift. Thursday’s are typically slow. He dealt with a dog bite and a sick infant then made dinner and relaxed.
Friday: A quiet day for most of it. In the evening I hoped in the back of a local’s SUV with Hugo. The Red Cross has limited ambulances and on Friday they were all out (one was in repair, two were making trips to the nearest hospital, 60km away and the fourth was on a call). The SUV took us to a house in Santa Marta, a neighborhood outside Nosara, inside a family’s matriarch was dying of emphysema. Hugo told me after she had a week, maybe less. He hooked her up to an oxygen tank, explained its use to the family and left. I didn’t shoot a single frame, something about it seemed wrong, as there were 15 members of the family standing around me watching. Although I had permission to take Hugo’s picture, I did not have the matriarch’s permission, I chose to respect her privacy.
Saturday: Another slow day, the crew at the office busied themselves with maintenance and cleaning. At dusk I followed David Perez Montiel, a volunteer paramedic, to the Nosara soccer field. The Red Cross sponsor’s a kids soccer team as part of a community outreach effort, he brought pop to give out to the kids at the end of the game. That night the Red Cross had six different calls and had to make two trips to the hospital in Nicoya, 60km away.
Sunday Morning: I was offered breakfast, consisting of fried pork and fried cheese in a tortilla, as well as a trip home to Guiones beach in the ambulance. On our way back, as we rounded the second to last corner, the road was filled with police and firefighters. I realized this was the fire my boss had texted me about earlier that morning. Because there hadn’t been any injuries the Red Cross wasn’t called, I asked them to stop and I hopped out and started shooting. Unfortunately, I missed the flames, which had been doused by 8-8:30, I arrived at 10:30 and was only able to catch firefighters dousing hotspots.
This one was my favourite because of the faces.
I also saw the paper copy for this month; I have about 90% of the photo credits in it… Now its back to work.