Sri Lanka, a small island off of the coast of India with a vibrant culture and developing medicine and technology is where I spent three weeks on a medical observational fellowship as a Klemm Fellow. Like many healthcare systems, including our own, better care comes to those who can pay. Unlike the United States, however, even those who cannot pay will get the medical treatment they require, as long as the country can fund it. I will explore the different concerns faced by the Sri Lankan healthcare system in comparison to our own. These range from decisions about what should be included in free healthcare to how they face communities of people who are still facing challenges from the tsunami that devastated the island in 2004. Being immersed in a host family and organization that cared deeply about my own health and spending the majority of my time in the pediatric ward of a public hospital gave me greater insights as to how the Sri Lankan people view health, sickness, and treatment.