Based on ethnographic research in Las Mina, Panama, this thesis examines how the dramatic changes in medical delivery practices meet the cultural (and medical) needs of the people in this rural community. This research answers that question by looking at medical decision-making for women in Las Minas, Panama in terms of their reproductive health. The study also discusses the use of medicinal plants in rural health care systems in Panama and seeks to determine what roles traditional health care systems are playing in an area with increasing access to biomedical treatments. It concludes that the people of Las Minas have effectively adapted to the changes in medial delivery practices by incorporated aspects of both biomedical and traditional medical systems into their health care practices. In terms of medicinal plant use, many of the women continued to utilize them in treatment for their reproductive health.