Seeing a Movie in Theaters in Mexico

Okay, so I heard the new Superman movie was liberal trash, so of course I needed to go see it.  I went today with my mom, and LOVED it.  The last Superman movie with the Henry Calvill was good (I like that he was arrested and imprisoned because I'm kinky like that) but this was was superb!  

James Gunn let us fill in the blanks instead of telling us the same story we already know, and Guy Garder of the Justice League was in it!!  I used to read Justice League West just for him because he was an incredible asshole, and I loved him.  It was so great to recognize him.  And I loved that there were other heroes and people were all like, yeah, we know.  Without the whole coming out to humanity as a superhero shit.

Anyway, there are several movie cinemas in my city.  My phone brought me to the wrong one first, and I just left.  It's in a crowded strip mall that's hard to park in and has nasty construction blocking one side of the four lane road.

I went to the gringo side of town instead, the mall with the Apple Store, Dairy Queen, Carls Junior, and KFC.  Still out doors, but with tarps blocking the sun.  Very clean and nice to walk around.

I got there at noon and realized I was too early.  They have two versions of the movie running:  English with Spanish subtitles, or a Dubbed version.  YAY!  So I can still see the movies I want in English.

We walked around and spent too much money on crap because everything in that mall is American prices.  And yet, we were the only gringos.  There's plenty of rich Mexicans with designer clothes and designer purses.  They're doing just fine, thank you.

Finally we went back to the theater, again too early.  In the USA if you're too early they don't let you in until the current showing is over.  Here they DGAF.  So we got to watch the dubbed ending of Superman before watching the subtitled version.

The theater was nice.  They have plastic trays that all theaters really should have for carrying popcorn and drinks.  The popcorn side is deep, so that if you spill it, it stays in the tray.  Very nice.  At the end of the movie I saw everyone obediently bringing their trays to the trashcan, dumping them, and piling them beside it.  

Also, the door to leave back into the lobby area was open...so I was able to get to the bathrooms fast before our showing started.  I brought my ticket just in case, but no one cared.

Now for the issues:  No handicapped seats.  There's an area directly in front of the screen, but you're craning your neck and the picture looks terrible.  And yet, that's where one woman in a wheelchair had to sit.  If you can't climb the stairs you have no choice.  

My mom commiserated with her in the bathroom.  She hated that she had to watch it there.  Said her neck hurt.  My walker-bound mom agreed.  They need handicapped seating that you can access that isn't just the first fucking row.  It's actually closer than the first row, because she couldn't sit in the seat, she had to park in front of a seat.

Next time I got to a movie here I'm going to see if there's any theaters that do have handicapped access.

But this time, I had to bring my stuff upstairs to our assigned seats (no way we were going to sit right in front).  Then I had to carry mom mom's shopping bag laden walker all the way up, and sit in a seat that had space beside it on the first landing so we could fold it up by her seat.  Then my mom, who was blind in the theater's darkness, had to slowly climb up the stairs and be guided to a proper seat.  Annoying, but worth it to get a good view of the movie.

Also annoying is there's no ticket stand.  We only saw computer screens that were a nightmare to use.  I swear a witch cursed me to not be able to use touch screens.  These touch screens were especially obnoxious because you had to guide a mouse cursor to where you wanted to click and the thing wouldn't fucking move.  I asked for help.  I think he said to go to the food stand to buy tickets with cash, but he ended up helping me finish on the terminal.

Now for the food stand.  There's only one size of soda, a normal tall cup.  Probably a medium in the USA.  And it's $60 which is $3.  I think that's cheap for movie soda.  They have Taki's covered hot dogs, candy of both Mexican and American origin (no Jr. Mints, but some Peanut M&Ms) and Palomitas which is popcorn.  

There were three different popcorn bins.  Red popcorn, which I assume is with Doritos dust or spicy Doritos dust or something.  Yellow popcorn called Mantequilla (butter in Spanish, but they didn't put extra butter on it).  And caramel corn.  Wow.  Also it didn't stink.  There was no scent of popcorn luring you in.

To the side there was also a Frappe stand (crushed ice caramel coffees, crushed ice fruit drinks and other flavors, including cajeta which means 'little box' so I have no idea what it was).  This stand also sold crepes with cream cheese/fruit, or nutella, or chocolate and more.  

Kitty corner to this stand, was a softserve ice cream stand with waffle cones.  And a few arcade games.

Okay so we're in the movie.  There were some movie previews, but also two 'talk show/advertisements' of a man and a woman talking about the movie and a few other movies, making jokes and bantering, then working in commercials for deoderant and the concessions.  They had two shows before the movie.

We saw a Smurfs movie preview, but they call them a completely different word, and then...something amazing.

It's a cartoon.  Disney quality, but very dark and serious.  It shows the Aztecs and the Conquistadors coming to brutalize them.  Cortez is a main character, but half his face is burned so he wears a covering over half of it (like...TWO FACE?) It was all in Spanish so I only got bits and pieces, but the Aztec warrior goes into one of their temples asking an Aztec bat god for help.  The tides start to turn, but then the conquistadors sends a crazy murderer with clown makeup after the Aztecs...kind of like the JOKER?  Then we get the title...and Batman music...BATMAN AZTECA.  OMG.  I FUCKING WANT TO SEE THIS SO BAD!  Is this in the USA too?  It seems like a Mexican only cartoon.  Oh!  I hope they have an English version.

And then the movie, which was loud but great.  I'll definitely see it on streaming a second time.  Afterwards, I struggled to haul my food tray and my mom's walker down the stairs, while she worked her way down slowly holding the handrail.

So...yeah.  Good and bad.  And the tickets for the matinee for me and mom mom were $10usd.  Can't beat that!

I Love Living in Mexico

 We've been here 5 months now and it's safe to say we love it.  It wasn't a mistake.  It was a great decision to come here, and the amount of stress I have seems like it's halved since I came.

Part of my stress was always financial, despite the fact that I make mid six figures on a bad year, I still stressed out all the time, because I have no children.  The only thing to take care of me in old age is my money, and I imagined I'd need at least $16,000 a month to pay for good care by the time I needed it.  So...I was working my ass off, scrimping and saving, to max my IRA and 401k as much as I could every year.

Here:  it's fine.  I could retire now and I'd be okay.  I no longer have the fear of being left in my filth at a bad nursing home.  

But there are of course, some issues.

After my surgery I got a bad infection.  Puss was leaking from my abdominal wound and internal wound.  I took a round of antibiotics and figured I was good.  But I wasn't.  Because I'm showering in contaminated water.  

Today is the first day I did the infection odor check and it was clear.  This is after many days on several antibiotics.  I think it finally cleared.

That doesn't mean I'm healed.  I popped a stitch because I needed to go shopping and take my 76yo mom to the hospital after a fall in the Sams Club parking lot.  She was okay.  She literally fell hard on the concrete, bounced on her hip, and was okay.  Thank God it was the metal replaced hip.  

We have to be more careful.  I was drenched with sweat and desperate to sit in the car that day.  I walked away from her while she tried to get the loaded grocery cart off the curb.  I fucked up, and it could have cost me everything.  Thank God she's okay.

What happens if you fall in a Mexican Sams Club parking lot?  A flood of workers come to you, clean up all the stuff that fell out of your cart.  Lift your mother to her feet, and help her to the car.  I love that about Mexico.  

Anyway, as I was saying, I popped a stitch and it's that spot that still hasn't healed.  Hopefully soon.  And hopefully before a new infection sets in.  I'm out of alcohol wipes and need to buy some more.

Anyway, someone I knew from the USA had the great idea of trying to send me something illegal in Mexico.  And for weeks I was terrified that we were going to get arrested and deported.  That didn't happen, but it showed me how much this life means to me.  This is my home, and I will not give it up without a fight.  

Mexico is a better, less stress filled life, and I love it here.  I will fight to stay with every ounce of my being.  This is my country now, and I love it.

Having Surgery in Mexico Part 2

I am 2 days post surgery.  I needed to have my uterus out due to cancer running in the family, gigantic fibroids, and ovarian cysts (took those out too).  I gave 'birth' cesarean style to a 2.5 kilo diseased uterus. 

I knew this surgery was in my future, but I didn't see it as urgent.  Just as long as I got it out before it became cancerous.  

The state of my uterus said different here.  The fibroids were so large that I couldn't have a typical hysterectomy that can be an out-of-office procedure.  I had to have my abdomen cut open to get it out.  And I had a very suspicious 4 inch long cervical polyp (a bane to my existence for ten years now).

This got me sent to an oncologist to proceed with the surgery.  Another complication was that I've had two surgeries previously on my abdomen to remove my large intestine (due to ulcerative colitis).  This meant I had 'adhesions' and needed a gastroenterologist present for the surgery.

I had a friend in the USA who's daughter was a doctor who made a much higher salary than the typical doctor.  This is because she'd become a 'doctor to the rich'.  A specialized doctor who gave VIP service outside of the regular medical system in the USA.

I bring this up because I feel like that's the service I just received in Mexico, but for a fraction of the cost.  In fact, the cost was less than what I would have paid in the USA WITH insurance.  I had Obamacare, a Silver Plan, and it had been so gutted my out of pocket max was $12,000, and this was despite paying $460/month insurance premiums.

I have no doubt this surgery would have reached my out of pocket max with the 30% I was liable for and other copayments.  In Mexico the surgery, hospital stay, anesthesiologist, and  gastroenterologist was just under $4,500.

EDIT:  It was another $500 to get my pathology results.  So make it around $5k overall 

But here's the kicker.  This was for the VIP private medical care they have in Mexico.  Many of the headaches I'd have to deal with in the USA, despite paying the exorbitant price, were not had here.  For instance:

1. I didn't have to wait to make my initial appointment with an 'in network' doctor.  I just went to the private hospital here and they made an appointment for me.  They also did the initial bloodwork and ultrasound that day.  No lines, no waiting.

2.  I didn't have to fight with insurance to get the surgery covered.  I didn't have to delay for weeks while dealing with that headache.

3.  I didn't have to fight with appointment bookers to get a date for my surgery.  I've had this be nightmarish before in the USA.  The red tape and hassle is enormous.

4.  I didn't have to worry about out-of-network bullshit costs being added to the bill when I'm half out of it on the operating table and don't know what I'm signing.

And I will say, without a doubt, a better experience is what I got.  Consider this:  in the USA there seems to always be staffing issues.  You have a nurse and nurse assistant assigned to your room, but they'll be the only two people for the entire floor. 

And often there are people in much worse shape than you.  You don't want to bother them, but when you have no choice, it's a long wait.  

I've even had situations where the harried nurse will just come and shut off the button without asking what you needed.  This happened to my mom after her hip replacement.  They left her in a urine soaked bed and I had to get her out of there.

In Mexico?  Staffing isn't a problem in the private medical system.  I was beset by what seemed like 10 workers all getting me ready for surgery.  Two people at my arm putting in the IV, two more at my legs wrapping them up so I don't get clots, several others explaining things to my mom (my translator) and setting up the room for me.

In Mexico, in the private system, you almost have TOO many workers.  They were always fast to come to the room when we needed something as if they wanted something to do.

Also, the doctor came twice a day.  In the morning and evening.  I feel like in the USA you're lucky to get to seem them once a day.  And forget it if it's a weekend.

Everything went so smoothly.  I've never had a discharge from a hospital this fast.  It's always a nightmare waiting for someone to get out the IV and for the doctor to do your paperwork.  

Not so this time.  When my mom showed up I was already in the wheelchair ready to go.  And there were plenty of staff available to take me down.  Like the woman almost argued with the guy to let her do it.  Very efficient.

There was no crowding.  Only one person to a room, which isn't uncommon in the USA, but there wasn't waiting for a room to open up, or being in a gurney in the hallway since there's just no place to put you (happened to me before).  The private medical system in Mexico is not a '12 hours in the ER waiting room' situation.  

That's not to say everything was perfect, but the pros outweigh the cons by a mile.  I was eager to have the surgery here rather than the USA.  I knew it would be a better experience.

Some of the cons:

After the initial appointments I discussed in my previous post, it was off to another private hospital to actually have the surgery.  This wasn't the Atlas Hospital I'd started the process with.  It was at the Maria Luisa de la Pena Sanatorio, a Catholic hospital.  

This hospital was great, and don't mistake my nitpicking as not being happy with the service I received there.

The first issue:  no elevator.  I had to go upstairs to my room.  My mother was with me and had to climb steep stairs.  I asked how I was going to get down from there after the surgery.  They said they'd take me on a wheelchair.  

At the time I thought the wheelchair would be carried down those stairs, but they actually had a ramp at the back parking lot, so all good.  But it was annoying for my handicapped mom to have to climb stairs.

I remember in the past and not so distant past getting little welcome kits in the hospital.  A pitcher with ice and disposable individually wrapped cups, footies with elastic tread, a toothbrush and toothpaste, and sometimes it's all in a kidney shaped plastic bowl which is great for puking into if you need to.

In Mexico they gave me a roll of toilet paper, a bar of soap, and a large bottle of water.  Again, not a big deal.

Next, the call button was on the wall behind my bed.  There wasn't a wire going to the bed with a call button.  When I mentioned I wouldn't be able to press it, they moved the bed sideways and lifted it up so I could reach it.  All good.

The toilet was low and small, and the handicapped rail was also small.  There was no emergency call button in the bathroom.  Meh.  It's fine.

There was dried blood on the hard plastic guardrail of the bed.  I had wipes with me so my mom cleaned it.  Meh, that's life.

The IV hung on the actual bed on a hook that was attached.  This made going to the bathroom a little annoying since I had to carry everything in my arms when I had multiple IVs going.  But I liked that the price stickers were right on every IV they gave me.  Those prices matched the bill at the end.  Kind of cool.

Here's a big annoyance in Mexico:  Oxycontin, Codeine, and Fentanyl are all banned here.  I love my tramadol, but seriously?  I needed something strong after being cut open.  I can't have NSAIDS due to bleeding that happens in my false-bowel.  I was prescribed fricking tramadol and an NSAID despite telling the doctor I can't have them.  😑 I didn't realize what it was until I looked it up online.  Annoying, but I was able to stop before any harm was done.

I feel that getting cut open means getting a pile of good painkillers, y'know?  I earned those.  But whatever.

They do have sufficient IV painkillers like buprenorphine and I had an epidural in my back.  When it finally ran out I was in terrible pain, sweating like crazy.  But it's my own fault because I'd wanted to go home a day early and tried not to ask for anything for pain because I knew they'd keep me.  I ended up having to stay the prescribed two days.  Cest la vie.  

Digression:

To be honest, my pain was from weird cramping on my side rather than the incision.  I don't know why this surgery was so much easier to recover from than my two colectomy related surgeries.  I was able to get up and walk around the next day, and not with hisses of pain and wincing.  It hurt, but not terribly.  

When I had my colon out they stapled me shut (a horrible thing to do to someone, especially for the rectal wound) and forced me up the day after so I had staples flying out of me and opening up my wound.  The epidural fell out and I remember praying for death in the bed because I was in so much pain.  I was forced to walk and every step was like a stab to the gut.

My neighbor (bless her) came to drive me home and gasped when she saw me stand up and walk to my shoes like it was nothing.  She'd had two cesareans and expected me to be a mess.  I was mobile and didn't want to be in the wheelchair.  She kept telling my mom how astonished she was.

And I was too.  What was different?  Yes, they actually used stitches instead of staples, score one point for Mexico, and the cut was not going above the naval.  Still...I expected I should be in terrible pain.  

I was thinking it's because I'd lost weight since then, but my neighbor is skinny and still had horrendous pain from her cesareans.  

The only other thing I can think of is that I have a lot of abdominal muscles.  My stomach is hard with them.  This is due to 24 years of having to push really hard to go to the bathroom from the colectomy.  Removing my rectum meant sewing me up tight.  So an abdominal workout every time I go to the bathroom.  Which is frequent because I have no colon.  So ten minutes after every meal I'm going.  Maybe that's why this wasn't a nightmare of pain?

Anyway, this was the first time I was explained how to use the buttons to get the guardrails down on the bed, and to move the bed up and down.  Like not sitting up, but actually raising it.  I know in the USA they don't want you to know how to unlock the guardrails.  In Mexico, personal responsibility is huge and they gave me that option.  They treat people like adults here.

There was a couch/bed in the room for my mom (also something you get a lot in the USA) and she slept there with me the first night.  I didn't make her go through that the second night.  It's scary not to speak the language, but I managed to get by.  I'm able to speak a lot of Spanish now and there's always Google translate if I'm desperate.  All the workers were fast to take out their phones to translate for me too.

I think I covered everything.  I hope this is the last 'necessary' surgery I have in my life, but I'd go for a tummy tuck, lipo, or plastic surgery in the future here no problem.  (Of course I'd research the doctors first.)  

The private healthcare service in Mexico is worth the trip.  Worth the money.  And is a much better experience than what you get in the USA.

Having Surgery in Mexico

 My mom's shoulder has been a constant source of pain for her for many years.  Lately she said there's a hard lump near the shoulder which she thinks is bone cancer.  I had bone cancer ten years ago so we wanted to check it out.

In Mexico there's the public free healthcare and the private paid healthcare.  The public system is over-burdened and should be left for the Mexican people.  We didn't come here to add to their problems.  

So we opted for private care, which is great.  VIP service (compared to what we're used to in the USA) for prices that are LESS than the copays, insurance premiums, and deductibles I paid in the USA with a crappy Obamacare plan.

We have heard mixed things about getting insurance for said private care.  In the end we decided not to get any insurance because they won't cover my mom due to her age.  We'll just pay out of pocket. 

We found a private hospital and went there.  Atlas Hospital in La Paz.  We haven't tried any others, so can't compare, but the care we got at Atlas was great.

My mom got her shoulder looked at.  It's arthritis.  They gave her a lidocaine cream.  Not much can be done for it.

I asked if I could bring up my medical problem too.  Sure.  I said I need a hysterectomy.  My mom had aggressive uterine cancer last year and it runs in our family.  I have gigantic fibroid tumors (seriously, one as big as a tennis ball and you can see the shape of it on my abdomen since I don't have a colon) and also impressive ovarian cysts on one of my ovaries.  These are all the usual symptoms for eventual cancer in my family.  

We are suspected of having 'Lynch Syndrome' a hereditary syndrome that ups our risk for different cancers.  In my family line it's focused on reproductive areas.  Uterus - two great aunts dead from uterine cancer and my mom had the same.  Ovaries - ovarian disease in my aunt.

Anyway, my uterus and ovaries are diseased and with this family history it's a ticking timebomb of cancer waiting to happen.  

They said:  Sure.  Let's get your blood work and do an ultrasound and we'll send you to a gynecologist to get it scheduled next week.  Like.   Seriously.  My hysterectomy is on Sunday.

In 2010 or so I had an ultrasound that found I had a 'huge' 9cm fibroid tumor.  It has since grown to 11cm, and there's three more vying for the top size spot.  Also I have a 3cm ovarian cyst on the side of my body where I get the 'bad' periods with cramps.  The other ovary gives me pleasant periods of no note.  The bad size cramps me up every month.

Okay, so they called the gynecologist on my behalf and got me an appointment the next day.  This was extremely unpleasant.  My first ever pelvic exam in my life (I have trauma in my past and avoided them for psychological reasons).  It was extremely painful and he had to stop before fully examining me.

But he saw that I had a cervical polyp.  Something that I know has been growing inside me for over 10 years.  It's as impressively huge as the fibroids (but more annoying, since it's external).  He said I needed to go to an oncologist.

That of course scared the crap out of me, but he swears it's just to be safe.  It's probably not cancer.  Okay.  Fine.  Also I need to have two surgeries, because this thing has to be removed before they can do the hysterectomy.  Since it's so huge it has to be done under sedation.

The day after that tomorrow I was with the female gynecologist oncologist surgeon.  She didn't hurt me, because she was warned by my mom not to do the same thing the male gyno did.  

She says she can get it all done in one surgery, but I have to be cut open.  The fibroids are too big to do the normal laparoscopic type hysterectomy that can be done as an outpatient.  I'll be in the hospital 2 days.

Also, since I have adhesions from my prior two abdominal surgeries, I need a proctologist present for the surgery.  It's more complicated than it should be, but they're thinking of everything and being careful.  Extremely professional.  The surgeon has nothing but good reviews online too.

That's where I'm at as of now.  The surgery is day after tomorrow.  

I'm happy with the care I got.  There's no lines/no waiting.  They take care of you and go the extra mile.  However, this being Mexico, there are some other annoyances.

1.  This new oncologist was some random office on a busy street with NO PARKING.  And all the street parking was taken.  There was literally no where to park in a 5 block radius.  We ended up parking illegally close to a stop sign and paying a guy to watch our car.  (He was one of those roaming car-washers here).  If we have to go back there we'll take a taxi.

2.  The surgeon's cost is $70,000 pesos ($3,500usd) and she wants it in CASH.  😑  Like.  Seriously.  I had transferred $5000 to my international bank thinking I would pay her that way.  This is how I pay my rent and got us eyeglasses here.  No.  And no credit card either. Cash.  So I have to go to the ATM every day and take out the max amount.  Including the day of the surgery.  I'll just barely make it in time for the surgery.

There are other costs, such as the proctologist, hospital fee, anesthesialogist, but all those costs can be paid on a credit card.  The total cost for everything (excluding the two $1000 peso or $50usd doctor visit and $6000pesos $300usd for the ultrasound/bloodwork) is $90,000pesos or $4,500usd.

If I had this done in the USA it would have taken weeks if not months to sort it all out and get approval from insurance, and it STILL would have cost me $12,000 which is my out of pocket max.  

So yeah.  In Mexico, without insurance, you get VIP private medical care for less than what shitty medical care in the USA costs WITH INSURANCE.  

I'm glad I'm having this surgery here.  I know I'll be treated a lot better than in the USA.  But I'll post about everything afterwards.

Noticias La Paz

 The judicial elections are over in Mexico.  I think they were nationwide.  Only 13% of people showed up to vote.  It's not that they were lazy, the cartels were intimidating people.  Since they burned two buses in my city I'm trying to keep up with the local news.  

It's weird how in the beginning I was all about keeping up with USA news, and I still do, but living in Mexico with blinders on is foolish.  Things happen here and you need to be aware.  

I still love it here.  I love being able to walk to a pharmacy in 3 minutes and get the pills I once had to do humiliating urine screens for and pay out the ass for the privilege.  And I take less of them now.  They had an antidepressant effect that I took advantage of, and I just need less of that here.

I have less stress about my future.  I know I won't end up in a urine soaked bed at a horrible nursing home one day, and that when my mom needs elder care I'll be able to afford it for her.

I know that if I lost my game vendor I'd have more than enough money to live on in my savings until I turned 62 and could then live well off social security.

Everything has changed, and it's been for the better.  Even when there's headaches, like the furniture woes, Walmart theft, and not getting the medication I needed the first time I saw the doctor, they're few and far between compared to my problems in the USA.

In Mexico they would never let my mom wait a month before she received news of her cancer diagnosis.  In Mexico I wouldn't have to struggle to get a vet appointment to save my poor little cat's life when she had some lung issue and was near death.  In Mexico people are kind, eager to help, and it's not all about money.

But they do need jobs here, and I love this place so much I want to give back.  It has to wait until I get permanent residency however.  I can't legally work here right now.  Having a 'front man' to run the business through is just asking for problems.  

We don't know if we're buying a house here.  The reason to have a house paid for in the USA is so you don't have to deal with housing costs when you're trying to survive in retirement.  Here I could always afford rent, and when I get older I'd want to live in some gringo senior living situation anyway.  So...maybe we won't buy.

We like the little house we have.  Four bedrooms with a nice bonus room with a balcony upstairs.  $700 for rent each month, $160 for electric every two months, $20 for propane every three months, and $10 for water every other month or so.  And my landlord kept all the bills in her name to make our lives easier.  We just add our costs to the rent each month.  She tells me what we owe through WhatsApp.

WhatsApp Web is amazing because I can talk to so many people and businesses with the aid of my computer translator.  But I am learning Spanish, bit by bit, day by day.  I'm not running into trouble when I go to stores anymore.  I'm able to talk on the phone.  I still struggle, but I know I'll be fluent in a few years.  It takes studying diligently as well as immersion.  You can't learn through osmosis.

I was sick for most of last month.  What was I sick from?  I'm somewhat sure it was a bladder infection due to not bathing due to the faucet situation I spoke of previously.  The antibiotics did make me better, though I still struggle with fatigue.  I also think I had a Graves disease flare since my heart was racing.

We got blood tests at a nearby lab.  My Graves is high but in a reasonable range.  I think I was higher a few days ago but upped my pills enough to get it under control.  I'm not anemic either, which was a fear I had.  My mom is also not anemic.  My blood did have signs I'm fighting an infection, so that tracks.

During the illness I seemed to sweat out my medications and minerals.  And somehow I'm no longer addicted to nicotine gum.  This is the perfect chance to get a hysterectomy.  And this month I'll start looking into that.  I'd like to just pay for it at the private hospital and not sign up for insurance, because the private insurance down here is the same as USA prices.  And I didn't leave the USA to come to Mexico to pay $500/mo in health insurance.  

I also am too spoiled to use the public health system here.  That, and I don't think it's right that I should be adding to the overloaded system.  The Mexican people need care and shouldn't be delayed because some gringa showed up.  Private hospitals will keep me out of their way.