We continue to be respectful of the damage Covid and other illness can inflict. We insist on good hygiene around camp and recommend vaccination. While there are good hospitals in Ensenada, anyone suffering severe symptoms from Covid, or any other illness/injury, would be better served in the US or their home country. It is your responsibility to have/acquire sufficient evacuation/health care insurance to meet your needs and expectations. A google search for "adventure travel insurance" will produce a variety of results to meet a variety of needs.