Central America

President Bukele’s government has transformed El Salvador’s integrated national health system

Photo: Ministerio de Salud

May 31 |

The National Integrated Health System (SIS) has been transformed during the administration of the President of the Republic, Nayib Bukele, through different actions that include modernization of infrastructure, equipment and digitalization of processes.

For decades, Salvadorans suffered from lack of care, hospitals and health units in poor condition and lack of suitable equipment for diagnosis and medical procedures, digitized care and modern technology.

Currently, modern, state-of-the-art equipment has been provided for X-rays, MRIs and cardiac interventions with a biplanar arc that is unique in the country and in the region.

“Assured connectivity. The Integrated Health System is changing the care we provide in hospitals, health units and in the territory, since it allows us to keep better control of the patient and give him/her the appropriate follow-up regardless of the facility where he/she goes to consult,” said the Minister of Health, Francisco Alabi, recently.

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The issue of connectivity was raised by the Vice-Minister of Health Management and Development, Carlos Alvarenga, during his participation in the 76th World Health Assembly, held in Geneva, Switzerland.

“We have interconnected all health facilities, generated the electronic health record and other important elements of digital transformation that are the basis for transforming the country with a leap in quality,” said Alvarenga.

Similarly, in terms of infrastructure, the government of President Bukele built a walkway with all the conditions for the transfer of patients between the tower of the Benjamin Bloom National Children’s Hospital and the outpatient building of this medical center.

This has also been equipped with a biplanar arc angiograph for cardiac catheterization.

Likewise, after 30 years, the Zacamil National Hospital was intervened and equipped with technology and new areas, as well as artificial intelligence through Temi, a robot assistant.

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On the other hand, another of the debts settled has been the inauguration of the Specialized Outpatient Care Center La Ceiba, of the Salvadoran Social Security Institute (ISSS), which has a capacity to care for more than 1,100 patients per day.

Due to the security measures implemented by President Bukele, health services have also been brought closer to communities that for decades were dominated by gangs.

Similarly, the teaching sector will benefit from the construction of the first Magisterial Hospital of the Instituto Salvadoreño de Bienestar Magisterial (ISBM), for which more than $2.2 million was approved by the Legislative Assembly for the purchase of the land.

Central America

Panama Will Not Be Threatened, President Says Amid Rising Tensions With China

Panamanian President José Raúl Mulino warned on Thursday that his country “will not allow itself to be threatened,” while expressing hope that tensions with China will ease following the cancellation of a contract allowing a Hong Kong-based company to operate ports along the Panama Canal.

Earlier this week, China, through its Hong Kong and Macao Affairs Office, said Panama would pay “a high price” for annulling the concession that has allowed a subsidiary of CK Hutchison Holdings to manage two ports on the interoceanic waterway since 1997.

The decision has angered Beijing, which, according to Bloomberg, has urged its state-owned companies to suspend negotiations on new projects with the Central American country.

“Panama is a dignified country and will not allow itself to be threatened by any nation on Earth,” Mulino said during a press conference when asked about China’s warnings.

However, the president added that he hopes the situation will not escalate. “I hope this does not spiral further; there is no reason for it to do so,” he said.

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The ruling by Panama’s Supreme Court came amid pressure from U.S. President Donald Trump, who has threatened to reclaim the Panama Canal—built by the United States—arguing that it is “under Beijing’s control.”

China’s Foreign Ministry spokesperson Lin Jian warned on Wednesday that Beijing “will firmly defend the legitimate and lawful rights and interests of Chinese companies.”

Central America

Bukele’s Approval Rating Climbs to 91.9% in El Salvador, Survey Shows

Approval of Salvadoran President Nayib Bukele reached 91.9% at the end of 2025, up from 85.2% recorded in midyear, according to a survey conducted by the research unit of La Prensa Gráfica (LPG Datos) and published on Thursday.

According to the newspaper, the high approval rating is “mainly driven by improvements in security.” Of those surveyed, 62.8% said they “strongly approve” of Bukele’s performance, while 29.1% said they “somewhat approve.”

The main reasons cited for approving the president were the perception that security in the country has improved (33%), followed by the belief that the government has delivered changes and overall improvements (14.3%), and the view that Bukele has done a good job in general (11%), the report said.

Meanwhile, 5.9% of respondents said they disapprove of Bukele’s administration. Among them, 25.4% said that improvements have been limited solely to security, 5.6% cited a lack of transparency, and 2.8% pointed to arbitrary detentions.

“The approval of President Nayib Bukele stands at one of the highest levels since the start of his administration,” La Prensa Gráfica noted. According to the survey’s historical data, Bukele’s peak popularity was recorded in 2020 during the COVID-19 pandemic, when his annual average approval reached 92.5%, a figure even higher than that seen during the state of emergency.

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Regarding campaign promises, 64.2% of Salvadorans believe that Bukele “is fulfilling the promises he made,” while 22.9% say he has “partially fulfilled” them, and 6.6% say he has “not fulfilled his commitments.”

When asked about the main “failure” of the president’s administration, 37% said there were none, while 10% pointed to the economy.

Central America

Laura Fernández Says She Will ‘Never’ Allow Authoritarianism in Costa Rica

Costa Rica’s president-elect, right-wing leader Laura Fernández, said she will “never” allow authoritarianism under her government, in her first speech after winning Sunday’s presidential election.

Fernández, the political heir of outgoing President Rodrigo Chaves, has been accused by her opponents of seeking to steer the country toward authoritarian rule through her hardline proposals against drug trafficking and plans to reform state institutions.

“I, as the new president of the Republic, will never allow authoritarianism or arbitrariness—things that no one wants in Costa Rica,” Fernández said to cheers from her supporters gathered at a hotel in the capital.

The 39-year-old political scientist criticized her rivals for centering their campaign on what she described as a narrative of “authoritarianism and dictatorship.”

“They tried to scare voters, but the electorate did not fall into the trap,” she said.

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Without offering details, Fernández acknowledged that her administration will seek to change the country’s “political rules of the game,” in what she described as a necessary step for Costa Rica, one of Latin America’s most stable democracies.