A Costa Rican legislator, Marta Esquivel, has drawn widespread criticism for referring to citizens seeking healthcare through legal appeals as “ticos with crowns.” This comment belittles individuals forced to file appeals – known as *recursos de amparo* – to receive medical attention from the Costa Rican Social Security Fund (CCSS). The appeals are necessary due to delays or denials of care within the public healthcare system. Critics have condemned Esquivel’s statement as insensitive, offensive, and dismissive of the struggles faced by those navigating the healthcare bureaucracy. The remark highlights ongoing concerns about access to timely and adequate healthcare in Costa Rica. Opposition figures and citizen groups have demanded an apology and accountability from the lawmaker. The incident has sparked a national debate regarding the challenges within the CCSS and the respectful treatment of patients.