Health insurance, while recommended, is not mandatory. All health services available to locals are accessible to foreigners usually at minimal cost to the traveller. Emergency medical facilities are available at Moto'otua Hospital, in Apia. Private medical and dental treatment is also available.
The literacy rate is estimated to be 97% in Samoa, where education is provided by the state in tandem with 5 religious missions, all following a common syllabus. The first 4 years of primary education take place at village schools, following which brighter pupils move on to district schools instead, where the medium of education is English. The only exception to this rule is found in Apia, where urban schools manage the entire process.
The 1960 constitution, which formally came into force with independence from New Zealand in 1962, is based on the British pattern of parliamentary democracy, modified to take account of Samoan customs. The national modern Government of Samoa is referred to as the 'Malo'.