St. Kitts is a small island with a population in the area of 50,000 with limited facilities. I was quite sick there last year (for about six months) with what turned out to be an e-coli infection that I presume I got there. I was never sick enough to go in the hospital but I should have. In St. Kitts it takes a week to get blood and urine tests done if you are not in the hospital. The doctor kept on trying different antibiotics that never cleared it up. He was a good doctor but limited in what he could do. When I got to Toronto they immediately diagnosed my problem and specialists cleared it up with a new powerful drug. Any complicated health problem requires you to leave the island. People fly up to Miami or down to Barbados. The hospial was satisfactory I visited a friend there and he seemed well taken care of. People often take out a form of insurance that will fly them off the island to their permanent home if they get sick.