OK, so we have free universal medical care for people in Dominica (not the Dominican Republic), no card necessary, no paper work. But, there is a major problem in organization at the clinic. There are always doctors at the main hospitals but the doctor comes to the village clinic only once a month and has three jobs: 1) emergencies, 2) do the preliminaries before seeing the doctor, 3) dispense the (free) medications for the month. There is a pharmacist, a nurse and the doctor.