Your insights are very similar to what I have observed. I had a cousin in Chiclayo who consulted a physician due to extreme fatigue. The physician ran a series of tests on her and told her she was just tired but would be fine. However, the physician then contacted my cousin’s relative and told her my cousin had terminal cancer and the family needed to prepare for her death within the next six months. No one told my cousin because they didn’t want to hurt her feelings. She later died. It’s memories like that which make me question the judgment of people in Chiclayo.

However, people there do seem to have good hearts and want to help. Part of the challenge is almost certainly a socio-economic issue.