What is accessibility like for disabled travelers in Panama?

Panama is not easily navigable for travelers with disabilities. Despite the fact that a 1999 law requires public and private buildings to be accessible for persons with disabilities, the infrastructure does not widely include ramps, handrails and other accommodations. Panama City is the easiest place for disabled travelers to get around, as there are abundant elevators and taxis, although most taxis are still not equipped to handle wheelchairs. Conditions further from the city get worse, as roads are sometimes unpaved and travel can be by boat.