"I want to live there full time.In order to do that I will need some income." - LOL LOL i would think you have a lot of company in that statement!!
seriously, how would you perform these complicated services without the facility? can you afford to fund and build it? if not, 'fraid you may be SOL.
i believe a friend on the island once told me their c-section and recovery in bz city cost around $1500 total.