I would add that most short term travelers abroad (or full time expats for that matter) want to have some kind of medical evacuation insurance. I was recently kitesurfing in Jericoacoara and landed a jump badly fracturing my heel bone. Jericoacoara is a very remote area about 5 hours from Fortaleza. They had a local public clinic which had very limited resources. They took an X-ray which showed the fracture but they had no splint, crutches, or even ice. They did not charge me anything however for the x-ray. I arranged transport to Fortaleza and I was admitted to a private hospital there (credit card up front). I needed surgery for my fracture but I did not want it in a place where virtually no one spoke english and I knew nothing of the surgeon (I am also a physician). I had purchased a separate medical evacuation policy for $250/year through airambulancecard.com which arranged transport back via private Lear Jet to California. Most travel insurance companies would have said I was in an adequate facility in Fortaleza for the surgery but I think if you have something serious you want to be in your home country. I highly recommend that everyone have this kind of insurance that guarantees evacuation to a hospital of your choice regardless of medical necessity.
