An audit of the Costa Rican Social Security Fund (CCSS) indicates that the state’s debt continues to increase over time. The sustainability of health insurance depends on the timely recovery of amounts owed in a timely manner.
The report (January 2025) of the internal audit of the Costa Rican Social Security Fund (CCSS) shows that the state debt reached CR₡ 4.2 billion (US$ 82.6 million) . Of this, 82% corresponds to health insurance. This situation may jeopardize the financial sustainability of health insurance and its ability to provide timely and quality services to the Costa Rican population.
Costa Rica has a long history of investment in social health protection. Article 73 of the 1949 Political Constitution lays the foundation for social health protection in Costa Rica. The Costa Rican Social Security Fund (CCSS) manages two schemes, one for health and one for pensions. In the Latin American region, Costa Rica continues to be an example of what can be achieved in terms of universal health care.
