About all American continent requires or includes private medical services, private clinics and private hospitals. A lot of times, private medical services are very better than the public ones, where people must wait months, even years, to get a specialized medical appointment (for ex., an appointment to see a neurologist). In my country, there are basically two kinds of medical insurance: the main, that covers about the 75% of all medical tests, doctors' appointments and surgeries, whose fees increase as the age of the policyholder increases. Averagely, a family of four pays about 600 dollars per month (in any way, in the case of the classic 9 to 5 employment by a private big company, the employer pays the policy for the whole family of the employee, until the children live together in the same household of their parents). A smaller insurance is dedicated to entrepreneurs, self-employed people, teachers and all employees not covered by the main insurance policy. It costs between 15 and 20 dollars per month per policyholder (plus 2 dollars for each family member using the same policy), whatever the age and it covers doctor's appointments, including various specialized medical appointments and allows reduced fees for some medical texts.