This paper shows the results obtained from a review and comparison of the Costa Rican health system versus other health systems in North and Latin America. A review of the Costa Rican national health system (SNSCR), the actors of the sector, its purposes, functions and objectives is carried out. A quick review of the social security system, which is solidary and cornerstone of the development model and social peace of the country, is made. Finally, there is a review of the structure and conformation of the health services network offered by the country. The national health systems of Brazil, Cuba, the United States of America and Spain are studied, and their constitutional principles, availability of resources, provision of services, their financing model and the role of governments in the contribution of economic resources are also reviewed.It is in the author's interest that this work be a text of general conceptualization and general reference for the reader, on the health models of countries of different political ideology, and it is hoped that the reader will be able to extract the benefits or difficulties in each case.