While in the Marshall Islands, individuals with disabilities may find accessibility and accommodation very different from what you find in the United States. There are no mandated rules for special support for persons with disabilities. There are few ramps, almost no sidewalks, and few operational elevators in the Marshall Islands. The public transportation system is nonexistent, but taxis are inexpensive and widely available. The main city has one road, and there are no street addresses or house numbers. Medical facilities have generally limited and inadequate accessibility. On outer atolls, there is no transportation for evacuation to the rudimentary medical facilities on the two atolls with hospitals (Majuro and Kwajalein). Visitors to the Marshall Islands should have medical evacuation insurance and be in good health.