Unfortunately you can't always get sick in a major city. I'd have no qualms getting care in Delhi or Dakar (and have done so) but what I fear is injury in a rural area, possibly days from a city.
I too carry my own syringes, as well as a range of basic medications, bought new for each trip.
I also have an emergency kit with things like firestarter, needle and thread etc, all of which can be handy if injured in a developing country.
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