We said it before: Unless you are some sort of a medical thrill-seeker addicted to risky adventures, don't do medical tourism in Panama. And now indeed there is a case of a man who lost his penis because of medical amateurs.
The only ones who are totally unaffected by the law are the criminals. They never cared for licenses and other gun-rules anyway, so the new measures won't change that much for them. Well done, Mulino!
Panama's institute that monitors potentially dangerous volcanic activity isn't updating its data, they're collecting it in the wrong places and you have to write them a letter if you want to know anything.