The Cayman Islands and Barbados are frequently cited as having the best medical care in the Caribbean for both residents and visitors. The Cayman Islands, specifically Grand Cayman, is home to "Health City Cayman Islands," a world-class facility that attracts medical tourists for cardiac and orthopedic surgeries. Barbados also boasts high standards, with the Queen Elizabeth Hospital being a primary center for specialized care in the Eastern Caribbean. Other strong contenders include the Bahamas and Puerto Rico, the latter of which operates under U.S. federal medical standards and offers VA healthcare. Cuba is also famous for its high number of doctors per capita and advanced biotechnology, though its public facilities can sometimes lack modern supplies. For expats and luxury travelers in 2026, the private hospitals in the Cayman Islands are generally considered the most modern and comparable to North American or European standards.