I lived in Southwest Virginia before I came to Costa Rica myself. The healthcare here is definitely better than the healthcare there in the forgotten corner of the state.

I wouldn't let my experience with Hospital San Carlos stop you from moving to Costa Rica. Just don't live in the San Carlos district, or if you do, have an address on your cedula from Tibas or somewhere near San Jose. Then you would have no worries. I would rate the care I got at Hospital Mexico up there with the finest care available in the world.