Costa Rican legislator Marta Esquivel has sparked controversy by disparagingly referring to citizens who petition the Constitutional Court (Sala Constitucional) for timely medical attention from the Costa Rican Social Security Fund (CCSS) as “ticos with crowns.” Esquivel, a member of the ruling party, made the statement while criticizing the practice of individuals bypassing standard healthcare channels through legal action. These citizens typically seek court intervention when facing significant delays in receiving necessary medical care covered by the CCSS. The remarks have drawn criticism from opposition figures and patient advocacy groups, who argue they demonstrate a lack of empathy for those struggling to access healthcare. The CCSS has faced ongoing challenges with wait times for specialist appointments and procedures. Esquivel’s comments highlight the tension between the government’s efforts to manage healthcare resources and citizens’ rights to timely medical attention. The incident is fueling debate over access to healthcare and the role of the judiciary in ensuring it.