At San José’s National Children’s Hospital on Sunday, Zeicate seated in the front row of a small room where Biden was speaking. The first lady, in remarks to assembled media and local government officials, dropped the news that country’s public health authority had recently entered a memorandum of understanding with the University of Pennsylvania and the Children’s Hospital of Philadelphia, which, according to LaRosa, will boost research availability and, “help Costa Rican children access a lifesaving cancer treatment.”