World Nomads is Dogsh-t. I need better travel insurance. What do you recommend?

American nomad in Barbados here. I've been using World Nomads for a good while now. I got an ear infection in August after swimming at the beach that has since become a perforated eardrum. I've been fighting it for weeks and World Nomads hasn't done a lot to help me. Their emergency and general assistance lines have been defunct, running me around in circles, or just plain blowing me off. Absolutely some of the worst customer service I've ever experienced. The first time I have an issue and they've basically done diddlysquat. Not a good sign.

I've decided that WN is no longer cutting it for me. What am I supposed to do if I have to rely on them during a crisis or real emergency? I need to get travel insurance with people who will actually help me if I have a problem.

Nomads of Reddit, what travel insurance do you recommend and why?