I personally knew someone growing up who goes there every year and did free eye procedures, and his commentary was that basic procedures were unavailable there

I personally knew someone growing up who goes there every year and did free eye procedures, and his commentary was that basic procedures were unavailable there and doctors lacked proper training. I know some other doctors who have interacted with them in Central America and expressed surprise at their lack of familiarity with basic procedures. You can’t learn those procedures without supplies.