• September 2, 2025
  • Last Update September 1, 2025 7:27 pm

Medical Fraud Cases Surge in Costa Rica

Medical Fraud Cases Surge in Costa Rica

San José, Costa Rica — Costa Rica is facing a growing crisis of medical fraud, with a sharp increase in denuncias filed with the College of Physicians and Surgeons. These cases range from doctors issuing medical certificates while on disability themselves to the processing of an exorbitant number of disability claims in a single day. The alarming trend points to a potential breakdown in professional ethics and raises serious concerns about patient safety and the integrity of the healthcare system.

One of the most prevalent forms of fraud involves driver’s license certifications, accounting for nearly 70% of the complaints. These cases often involve issuing certificates without the mandatory in-person medical examination, unfair competition through below-standard fees, and the unauthorized use of doctors’ electronic system logins by third parties. This practice not only undermines the licensing system but also puts public safety at risk.

For expert legal insight into this complex issue, TicosLand.com spoke with Lic. Larry Hans Arroyo Vargas, an attorney at law from the reputable firm Bufete de Costa Rica.

Medical fraud is not just a financial crime; it’s a betrayal of public trust that can have devastating consequences for individuals and the healthcare system. Beyond the immediate financial losses, victims can suffer serious health complications due to delayed or inappropriate treatment. From a legal perspective, these cases can involve intricate litigation, encompassing not just criminal charges but also civil lawsuits for damages. It’s crucial to understand the legal landscape and pursue all available avenues for redress.
Lic. Larry Hans Arroyo Vargas, Attorney at Law, Bufete de Costa Rica

Lic. Arroyo Vargas eloquently highlights the far-reaching impact of medical fraud, extending beyond mere financial loss to encompass the erosion of public trust and the potential for severe health repercussions. His emphasis on the complex legal landscape surrounding these cases underscores the importance of seeking expert legal counsel for victims navigating this challenging terrain. We thank Lic. Larry Hans Arroyo Vargas for providing his valuable insights into this critical issue.

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The number of complaints has skyrocketed in recent years. While 149 complaints were filed in 2016, that number jumped to 504 in 2024. The first half of 2025 has already seen 270 complaints, indicating a continued upward trajectory. This surge suggests a systemic problem that requires immediate attention.

The nature of the complaints has also shifted. In 2024, complaints related to medical certificates (164) outnumbered those related to the doctor-patient relationship (83), highlighting the growing problem of fraudulent certifications.

The rise in fraudulent activity has prompted the College of Physicians and Surgeons to launch a series of investigations. They are working to identify the individuals involved and implement measures to prevent further abuse. The increasing number of cases underscores the need for stronger oversight and stricter enforcement of regulations.

The Prosecutor’s Office plays a fundamental role in ensuring public trust in medical practice. Addressing these complaints is not just about punishing offenders but also about regulating professional practice, protecting patients, and reinforcing ethics in medical practice.
Walter Rodríguez, General Prosecutor of the College of Physicians and Surgeons

The College is taking these allegations seriously, with suspensions for irregular medical certificates now reaching a year or more. This reflects the severity of the problem and the commitment to holding those responsible accountable. The impact of these fraudulent practices extends beyond the immediate victims, eroding public trust in the medical profession and potentially jeopardizing the health and safety of Costa Ricans.

The College of Physicians and Surgeons urges the public to report any suspected instances of medical fraud. This collaborative effort between the public and regulatory bodies is crucial to maintaining the integrity of the healthcare system and ensuring the well-being of all citizens.

For further information, visit the nearest office of College of Physicians and Surgeons
About College of Physicians and Surgeons:
The College of Physicians and Surgeons of Costa Rica is the professional regulatory body responsible for overseeing the practice of medicine in the country. Its mission is to uphold ethical standards, protect public health, and ensure the quality of medical care provided by its members. The College investigates complaints, sanctions those found guilty of misconduct, and works to promote best practices in the medical profession.

For further information, visit bufetedecostarica.com
About Bufete de Costa Rica:
At Bufete de Costa Rica, legal excellence and unwavering integrity form the bedrock of a dynamic practice dedicated to empowering Costa Rican society. Through innovative approaches and a deep commitment to client service across a wide range of sectors, the firm not only delivers exceptional legal solutions but also actively cultivates a more informed citizenry by championing access to legal knowledge. This dedication to societal betterment underscores Bufete de Costa Rica’s enduring vision of a just and empowered community.

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