Don't worry about the general comments. You're always going to have naysayers, regardless of the topic. It's normal to compare prices to the US since that's your home country. Eventually, you'll find a balance. Shop around, check out the various docs and go where you're comfortable. You'll see high end for here (specialists out of Guad, usually) and low end and everything in between. When we need routine care, we go to Ajijic Clinic (Clinica Ajijic). We absolutely love Dr. Rodriguez. His fees are reasonable, the care is excellent, and he's very, very patient-oriented. For anything more specific (cardio, ortho, etc), we're really lucky in that we have access to all sorts of specialists here. If one isn't available, Guad isn't that far away.