Venous thromboembolism (VTE) treatment in 314 Cardiac surgery and Vascular surgery clinics in Europe

The new rooms in the new area of the hospital are nice, clean and modern, but the old rooms in the old part of the hospital need to be refurbished, they do not live up to the hospital standards. The food was very basic, not much flavor and for the price of a day stay in the hospital the food should be better quality, taste better and have options on what you would like to have. They also need to improve the wifi/phone signal because nor the wifi nor the internet from my mobile phone provider worked in my room. The television only had Spanish channels and for a high quality hospital one should have international channels in English and other languages. The personal attention was great, the nurses and doctor where amazing. They took excellent care of me.

Had a surgery here and it went very well, staff were working with upmost care and respect. Compared to most hospitals in the US where I'm from, this one deserves 5 stars for the quality and value.

Terrible hospital. The staff are very unfriendly, and if you struggle to speak Spanish they will not put any effort in to try help you in English. I have been there twice in the past 4 weeks for the same issue and the doctor always just prescribes ibeprufon when it’s clear my situation has gotten worse. They also don’t have any equipment, he used his iPhone as a torch and put a pencil in a latex glove and used that to push my tongue down to examine my throat. Completely pathetic the service one gets from this “private” hospital.

I booked an appointment via their online platform with the Diagnostica d’imatge department, because I needed to take a MRI exam for my leg. In the online platform I uploaded my traumatology doctor’s referral where it says I should have two MRI exams taken, one in a rested state and another one after running for 20 minutes to see the difference in my muscle. I even sent the referral via email to the Diagnostica d’imatge department in order to make sure they knew about the fact that I need to make two exams and not only one. They didn’t answer to that email even though I asked for confirmation of receipt. I had no luck reaching the right department via telephone because I don’t speak Spanish or Catalan so well so I gave up on trying to get a confirmation that way. Anway, when I arrived on the day of my appointment, the secretary in the Diagnostica d'imatge department told me that I should have booked two appointments instead of one and it was a problem, but she will try her best to find a solution. I was afraid because I came to Barcelona only for this appointment (I live 3 hours away from the city). After waiting for around 20 minutes the secretary (her name was Andrea, I think) called me and confirmed that I can take the two exams one after the other right away! Eventually everything turned out well and the staff was super friendly, even when I only spoke English. Big thank you again Andrea you saved my day!! :)

Excellent service . Professional doctores and they take care of their patients in a very human way

Im calling all day to cancel an appointment with traumatology, no answer all day, it's been always like that i have to keep calling for hours maybe they pick up the phone, but today no one pick up the phone.

I had to attend the oftalmología urgencias department and the four staff present treated me fantastically. This was on Saturday October 7, and they were busy all day. I had lots of tests and was given an appointment to return on Monday to the main department for a revision. Spain really has the best public care in the world, I'm sure of it. Muchas gracias.

The urgent care facility is dirty, poorly organized. The staff engages in unsanitary practices: trash receptacles-including those that take hazardous waste are left uncovered, and you often see trash littering the floor around the trash cans. Also, multiple patients are asked to sit and lie on the same paper covering on the examining tables. I saw this in multiple examining rooms. The doctor who cared for me, Manuel Luis Gomez Blanco, was rude, impatient and haughty. He tried to dismiss me after treating me for only one of the ailments I came for. It was a very unpleasant experience, but I was able to get the treatment I sought. I just should not have had to deal with such an unprofessional environment and uncaring treatment by staff. I am fortunate my ailments were not life threatening.

I didn’t even want to give you a star. First this La Paz hospital is not friendly to English speaking patients. For international tourists or expats! You will die here . I brought my daughter to their ER. She was having shortness of breath..due to her asthma exacerbation. they made us wait for 3 hours but no treatment given nor tests done. Horrible private hospital. I went to see the doctor to tell her that my daughter needs to be nebulized. Instead of talking to me properly. They sent me out because none of them speaks English and they said wait to be called ! For 3 hours of waiting nobody gave my child management nor diagnostic procedure ! They didn’t care as to what I was pleading for . i will complain to Adeslas my health insurance and will make a report on this . I’m a dermatologist and a medical journalist from the philippines. I know the management to asthma very well. Their doctors/ nurses are all rude and with no empathy to patients. They should have. English speaking representative for the tourists coming to Spain. It’s pathetic that they have no treatment .-

Awful. Patient Management is closed when it have to work. No response via phone to ask why you must pay specific amount of money and for which services. Huge respect for doctors, but management of clinic is awful and they deserve even less than 1 point out of 5.

After almost 30 hours, they still don’t know when they can perform surgery on my kidney stone. They only gave me 5 glasses of water! When I asked them about my situation and the plan, nobody answered! I’m thirsty, hungry, and in pain from the stone for more than 1 day. This is simply the worst hospital I have ever seen in my life!

Unfortunately but I have a pleasure to have surgery on pancreas cancer here. UK NHS said its noopetatable😬. The rooms 10 stars out of 5🙂, super clean, staff constantly checking on you, everything went smooth and pain free(thanks to epidural and painkillers). I have been sent home when I was ready, no complications and, 7 month out and good so far. Highly recommend, plus beautiful town which I was able to see before surgery.

I recently was looked after by Department of Thoracic Surgery and they coordinated and led my multidisciplinary operation. I would like to thank all the teams involved in looking after me and providing me with the highest quality of healthcare. I am extremely thankful and humbled by the professionalism and excellent quality of service that you provide to the public day in, day out.

Alert: avoid this hospital for giving birth. During my labor in August, the anaesthetist came very late and failed her job. She did not manage to give me the pain killer Epidural as agreed prenatal, which resulted in an extremely painful delivery. The doctor did not even accomplish the basic task. very disappointed. will not recommend USZ at all.

I am a tourist that presented to the emergency room with stroke symptoms (headache and memory issues). The care was excellent! Every staff member was very caring and knowledgeable! Everyone was very personable. I have worked in Healthcare in the United States for 40 years and feel the care I received far exceeded what I have seen or experienced in the US. Zurich can be proud of their outstanding medical center! A stroke was ruled out and I was diagnosed with amnesia related to a migraine! I highly recommend this medical center for your healthcare needs and appreciate the care they gave me.

This hospital is more than exemplary in every respect, I would like to give it endless stars. Every single person who works there has been more than just loving and warm. I especially wanted to thank the station E 1.2 Tuscany. The nurses and carers there were more than just perfect. I could write an endlessly long text here and still not have said thank you often enough!!! You are amazing - the entire station ❤️ To all the people out there who need help with heart problems, I promise you won't be in better hands!!!!

Thank you for saving my husband's life. Without your commitment, it would have been too late. E01 is the best intensive station I have ever met.

Super friendly people

EXCELLENT CARDIOLOGY CENTER DOCTOR. EFFICIENT BUT THE DEPARTMENT STAFF SERVANTS TO BE KICKED OUT X RUDE AND RUDE AN INDECENT THING THE ELDERLY ESPECIALLY TREATED BADLY. BUT NOBODY WHO CHECKS THE EQUALITY OF THE DISGUSTING SERVANTS. TAKE MEASURES FOR THOSE WHO CAN GO HOME UNWILLED.

They don't respect visiting hours. One piled on top of the other. First and last time I set foot in this kind of structure

Arrival at the emergency room with heart disease, pacemaker and thrombosis in progress, GREEN triage assignment and discharge (but return the following day for a vascular visit, the patient thrown here and there without hospitalization because "there are no beds"). The surgeon undertakes to anticipate access to the TAO, to date he has never responded (not even out of politeness). Hippocrates now seems like a distant memory of school studies......... It would be a pleasure to review this review in case something changes, but - given the trend - I doubt it.. Too bad!

Poor management, miscommunication between staffs leading to patient’s EXTREME DISCOMFORT, no empathy whatsoever, PLUS the lack of information given to the patient; having to wait for 2 days still going on with little to no food (to prepare for the surgery which only takes 20 minutes as the doctor had said). The surgery that was planned, gets delayed due to the miscommunication between the staff members. But this was not relayed to the patient and the patient’s family until after waiting for 8 HOURS, keeping the affected ones in the dark. Then promising to do the surgery the next morning but then it gets pushed back to afternoon and then again at around 9 pm. But AGAIN it gets postponed until next day saying the doctor went home, which meant the patient was starving the whole day preparing for the promised surgery which was not done. Even after all this has happened because of their MISCOMMUNICATION and CARELESSNESS, NOT A WORD OF APOLOGY or any better explanation. Sure, it’s a hospital, there could sometimes be many emergency patients at once but they should also have MANAGED properly, they should not have promised something they could not do or they should have made proper plans OR they should have communicated well, at most the staffs should be trained properly on what they should be doing. Save lives but also not try to make any more patients. Hopefully an improvement in the management, the behavior of the staffs towards the patients, and their skills can be seen in the FUTURE if not now because it’s a PURE DISAPPOINTMENT right now.

My dad was supposed to have a surgery on 8 am after the hospital gave an appointment. He wasn’t allowed to eat or drink from midnight til the surgery. But they somehow had a “communication error” saying that the operation room got occupied by another patient after 8 HOURS!! My dad had to wait 8 HOURS in pain without any food or water waiting for the doctor to do the operation in the room. But NOTHING!! It was so irresponsible of them! It felt insulting as if they were looking down on us because we are of different race. I felt so bad for my dad!! Now the operation is gonna take place tomorrow! I had expected better from the hospital!! I wouldn’t even give 1 star if I could but unfortunately I have to, to write this review!!

A mother spent three days begging Help Island psychologists to help her child not commit her seventh suicide. A psychologist and a social worker. The meeting was prepared for three days. Twenty-first century, in the ambulance of the city of Bern, out of 140 thousand Russians and the same number of Russian speakers, but there was no interpreter for the appointment. The elite of the hospital, in the person of a highly paid psychologist and social worker, passed judgement; Listen, ...parents ; the mother should call the police! In truth, they pay 8,000 francs a month out of your taxes to the great healers of the land of Switzerland. There's a Russian saying "don't throw beads in front of pigs". Mother left in silence. The arrogant took it as a victory! A victory over a helpless, disabled woman. Arrogance is formed from the absence of everything else. Education, upbringing, having compassion, morals, responsibility, being helpful...) How does fascism spread? The chief said, you have to smash your forehead, but follow orders! Back in the emergency room, after five hours of being ignored, the mother was brought out a poster, A4 sheet format. It said in large letters, "We won't help you and the three-digit police phone number is 911. The leading psychologists of the hospital and here, showed their professionalism, big letters for a stupid Russian mother. These letters shout: "the doctor said to the morgue, so to the morgue". The mother, of course, was sick, but unlike the friendly staff of the Ostrovny Hospital, she could remember a seven-digit phone number. Where do these mothers get their strength? She brought the baby in. И? Refused!!! This is another story, how she managed to survive, get to the nearest town and finally get help. And what about the friendly staff of the Ostrovny Hospital? They found a clinic where they put a sick, tormented child, called and told them to get rid of him. What does the ambulance care about the clinic? How close, how united is the corporeal spirit, in the pleasure of mocking the Russian, sick mother. Friends, "The future is not for everyone. " Klaus Schwab Unite!

Went to the emergency and had to wait 4 hours! I was in the most pain of my life and instead of giving me priority, they simply didn’t care. After the absurd wait I was given TWO pills which one of them I vomited after. Worst experience ever!

A fractured my feet 2 days ago. I thought it was my ankle on the side, That’s what I told them, they checked it and it was good. Then, they also decided to check my feet as well just to make sure that everything was good. It wasn’t. I went without appointment and obviously I spent many hours there. They are busy working hard. You have to be patient, but is easy when you have such a lovely, friendly and caring staff. Thank you very much guys !!

After 2 hour wait after check in (no other patient in the er) we realized they had completely forgot about us. terrible intestinal pain, swelling, for days. My wife was seen by a med student, asked a few questions, came back and sent us home with exact same treatment she had been taking, telling us to come back after a few days if it didn't improve. It's been 4 days, we are at the ER in Brussels, it's worse, none of their recommendations worked. We just received the bill: 450 euros for a 10 min conversation with a couple incompetent med students. Shameful.

I had minimally invasive surgery and stayed 4 days. The nurses and doctors were all very friendly and helpful, the hospital and patient rooms were quiet, clean, and smelled fresh. I usually have a hard time sleeping in an unfamiliar place, but the hospital bed was surprisingly soft and comfortable and the nurses gave me something at night so I actually ended up getting the best sleep in years. Evening rounds came in at 10:30 PM and morning was 7:50 AM so my roommate and I got our 8-9 hours sleep and went home rested. Big thank you to all doctors and nurses at Albertinen Krankenhaus.

I was treated with high professionalism, and empathy @ the gynaecology department under the responsibility of Doctor Renana Schinker! I am happy to suggest her with confidence! As an expat living in Hamburg I felt @ this hospital less away from family and home! Thank you!

Came to Notaufnahme with racing heart, palpitations and chest pains with breathing issues. I wasnt sure whether it was serious enough considering how full the hospital was and i felt embarrassed to go. Nevertheless, i was treated warmly and respectfully during my long and expected wait (its an emergency room people, chances are someone is going to be sicker and more needing of help than you!) . The staff were under pressure with so many sick people and i was happy to wait. They found me room to stay overnight as the Cardiac Unit was full, and still i was treated respectfully and with dignity. I too am a foreigner, with questionable German skills but i try and found no racism as other have said. Im now in the cardiac ward and grateful that im being cared for. Still! Thankyou to lovely Notaufnahme Doctor, the Cardiac team, the nurses at 2A and also now up in 6B. Everyone has a sense of humour and are so friendly! I recommend this hospital 100% you are in good hands! Chill!

I am shocked at how mediocre and overrated this nationally famous clinic is. Even as an international, self-paying client my appointments in late 2022 were continually mixed up and, worse still, the 3 weeks of extensive diagnoses were inconclusive and they recommended cortisone for the pains throughout my body, claiming there was no alternative to this treatment. My pains steadily increased and at one stage I could no longer get out of bed without help. I finally visited a microbiologist in Hamburg who correctly diagnosed the cause, and with a simple change of diet I was pain-free within a week!. I am now completely off cortisone.

The worst childbirth that you could imagine! Unfortunately, we chose this clinic for childbirth. At the 39th week Dra. Laura Muñoz Saá said me, that labor induction was needed. Although we did not agree with this, but we trusted her words that everything will be fine and that it is better for me and child. The doctor assured only about the advantages of induction of labor. However, there was not a word about complications and possible consequences. Although everything was written in the informed consent. After the start of induction, irregular labor began (opening from 2 cm to 10 cm per hour). I screamed from pain and begged for pain relief due to excruciating pain. Everyone just said that I should breathe, and I will never forget the words of the anesthesiologist who came to install epidural anesthesia. He said "all women give birth, what do you mean you can't sit down for 2 minutes?" In those moments, I prayed that it would end soon and barely sat through those 2 minutes of hellish pain. After the examination, the doctor on shift told that the cervix was already fully dilated and the child was in distress. I was told that a caesarean section should be performed immediately. To go through hellish pain so that it ends with an operation is not the worst. The worst thing is when they start making an incision, and you say that you feel pain, just pain, and not the feeling that something is being done. In response from the anesthesiologist, I heard "don't make it up, you can't feel pain." No one but me will understand the torments that I went through and that left a mark on my heart forever. The most beautiful day of my life became one of the worst for me due to excruciating pain and a feeling of helplessness. When you beg for pain relief, which they still think about giving you or not, because they don't believe that you can feel such unbearable pain. The only thing that was at the highest level was the help of the nurses and the matrons with the child. Thank you very much for your work and help!

My parents have been getting treatment at this place since 2018 and since it's doors first openend then, the customer service and quality has gone down by a lot. They are taking on too many people and they are loosing sight of what matters most: the patient and their family. I lost my father recently and I am sure that his doctors at the CUN could have looked after their patient more in detail rather than making us wait for hours sometimes and the most difficult part was for my dad or me to get a hold of his doctors. The ER room service is also basically non existent. I will never use that Clinic again. Great doctors, latest Tecno but not attention to detail and bad administration.

I was lucky enough to be hospitalised here (you know what I mean) : without exception the doctors, nurses and auxiliaries were nothing less than superb. I thank them all!

Private hospital based in Pamplona and Madrid. It is worth making the trip to attend any of its specialties, which are not few. In my case, they have given us endless possibilities. All staff are attentive, they explain each intervention/treatment in detail and work with insurance. Everything is organized and they have professionals for everything. Appointments are usually on time, the waiting time in the room is short. There is a parking lot right in front. We will repeat and I recommend this clinic.

An incredible service, the best hospital I have ever been too. Bedside manner from doctors, nurses, and all staff is fantastic

Excellent quality services and precision !

My first experience of having an angiogram- the staff were very kind and helpful and always with a smile. It makes the situation easier to handle ! Thank you to Doctor Rosencher and his wonderful team !

Disorganized and borderline incompetent: i was sent back and forth between the 2 locations and found in both places incompetent personnel. They are unable to keep to the scheduled appointment and on too of all, no doctor is available to issue the report of the examination. Just plain incompetence, avoid this place.

Went to the ER one Wednesday afternoon, around 13:30. The receptionist saw I was in pain and explained I had taken the wrong password ( you have to press "Consulta Permanente"). She helped me with that and in less than 5 minutes I was called and directed for treatment. Waited about 40 minutes and was seen by Dr. Ramon Maldonado Acosta. Very kind, attentive and in no rush. At 15:00 I was already home, having been to the pharmacy as well. The hospital charged 73 euros. I think it was well worth it. I was in a lot of pain & discomfort. Staff & doctor were really nice.

Amazing service. After going to Loulé public and then Faro, neither surgeons were able to get the foreign body out of my toe and I was told to leave it despite agony and not being able to walk. I attended Hospital de Loulé in desperation for a competent Doctor to assist and I was privileged to have Dr Ruben as my surgeon. What a genius! 1.5 hours from initial GP appointment, xrays and surgery and the extraction was a success. Amazing, wonderful staff and beautifully clean, calm hospital. Thank you everyone for my incredible experience.

Staff are very polite, but to get through to the Hospital on the telephone is almost impossible. The recording is absolutely a waste of time, if you listen carefully it says ‘your call is important to us and we have recorded your number and we will call you back’ They never call back so you try again and wait for them to answer, which can be over 30 minutes .

Not possible to schedule appointment via phone, only email. Very long waiting time, appointments are always late for 30-60mins or longer, and management does not notify about delays, patients time is not respected at all.

**^Racism warning. I met with Dr Raquel Vieira to have my implant taken out as me and my husband wanted to start trying for children. Firstly she wouldn’t let him be in the room even after I insisted. Then during the procedure she proceeded to tell me “COLOURED men like to have many wives” and told me I needed to “really check” to see if he had other wives, and children I didn’t know about. This was extremely shocking to hear, coming from Sweden and the U.K. I felt very uncomfortable as she was stitching me up I was in shock and felt very unsafe around this doctor. I can only imagine how she would treat me if I was darker skinned or god forbid decided to make her my doctor for my pregnancy. Very unprofessional and unpleasant let alone racist and illegal.

The service too bad I’m trying more than 2 months to take appointment to show exams to the dr their phones never answer! They never respect people

Poor service

Normal care without differentiation, for example from a public hospital, in the dermatology service it was not possible to detect the origin of my father's skin problem, only after going to a dermatology consultation at CUF in Porto

I was received with professionalism and friendliness, I also spoke a little with a doctor and a nurse, they were very attentive

Terrible service. They have closed the permanent customer service, admission for appointments from 4pm onwards has to be done at the counter on floor 0 because the counters on the other floors are already closed, which greatly increases the waiting time. Even though I've been coming to this hospital since it opened and I live a 5-minute walk away, I prefer to look for another hospital.

Very unfriendly reception at piso 0. Sending back and forth. Technician late so far 0.5h (still not here) for a scheduled exam... so far great experience with HLuz but first at Amadora. Not anymore

Dr. Joana Rocha Pauletta was extremely rude, condescending and impatient. I waited 30 minutes although I had an appointment, and she seemed to be agitated from the moment I sat down. I made an appointment with her specifically because her profile said she speaks English. So I waited two months to see her. But when I got in the appointment she continued to not only chastise me for not speaking fluent Portuguese but she was very condescending and rude about it. She continued to communicate with me in Portuguese and then would get frustrated when I didn’t understand. Again, her profile lists English as one of her languages , yet she refused to communicate in English. I had several concerns that I needed addressed regarding perimenopause and her response to each concern was that I needed to see a general doctor. Additionally their website has an entire page about communication with international patients which makes her behavior and disposition all the more perplexing. Medical Tourism is when people travel for medical procedures, in which case, tourists are not expected to speak the language of the country they travel to. This was a Horrible horrible experience. If she does not want to deal with native English speakers she needs to remove it from her profile.

I feel robbed. I spoke on Instagram with Dr Paulo Morais (dermatology) about removing a mole in which I sent a photo of it. What did Dr. He told me what it was and that he removed it easily in 15 minutes in a consultation. However, on arrival at the Hospital Clínica da Luz in Amarante, they charged €75 before the consultation. I entered the office Dr Paulo Morais saw the sign again and said he would have to pay €270 to remove it. In other words, I had not mentioned this before, not having gone there prepared, I did not carry out the procedure and I still ran out of €75 in 5 minutes to leave to find out the same and I lost a morning of work. 😔😪 The situation is regrettable, Dr. Paulo Morais deceived me well.

Review of previous review for the reasons I will describe, although I chose to maintain some aspects. Private clinic where many quality professionals work, however the entire management of this hospital seems to be based solely on traditional, and very clear, objectives: profit! An institution of this nature must, in my humble opinion, regulate its procedures by ethics, above all. But that does not always happen. I do not accept scheduling a surgery with a stipulated price, in prior consultation, and being presented with a bill that ends up being more than double that amount. I paid, it's true, because I didn't take anything that could prove what I'm saying here, even though I had a document at home whose code differs from the one presented to me on the invoice. But the worst part was how quickly the mini-surgery took place. I ended up not extracting all the "signs" (or warts, which is what they are) planned for extraction, thus maintaining a greater risk of spread. Furthermore, he planned to carry out the action through cryotherapy, and not through scraping, which involved a lot of blood loss, marks everywhere, the impossibility of leaving and other constraints. This was not told to me in the preliminary consultation. The way in which we are "deceived", because, in my opinion, that is what it is all about, always begins with an initial consultation, which is long and during which sympathy hides the intention of the true final charge, which, in my opinion, does not take place of the doctor's will, but of the objectives to which workers are currently subject. Here I leave my honest opinion, with the intention that anyone who has a few seconds to read it does not fall into the same "trap". Requiring clear documents, budgets, for example, that stipulate final prices, is fundamental and ends up corresponding to a right enjoyed by users. That cannot be neglected! PS: Oh, and the date set for surgery cannot correspond to an appointment, let's face it! We should be careful, because if we refuse to accept paying for a consultation on that day, the final price will probably reflect this disagreement, due to some other excuse...

Incredible......I waited 70 minutes to be seen by Mr. Doctor José Miguel Freitas! I ended up giving up on the appointment as I was still waiting for them to call me! My Time is as precious as yours..... I will not use your services again!!!!!

My wife and I have been going to this hospital for a couple of years. We have a family doctor (always late but doctors do have other patients with problems that need intervention, I like to think) speciality doctors for hematology, dermatology, gynecology and urology. They all have a specified amount of time to allot to each patient for consultations so sometimes it seems rushed but they have all been very professional and in almost all cases attentive and caring. The hospital is very busy and i think the receptionists do an excellent job of helping patients.

Mammogram and ultrasound checks everyone's helpful. Friendly and professional felt relaxed with all the helpful doctors .nurses and receptionistist would give them more stars 🌟 then five

Recepcionists who answer the phone are hysterical and rude. The worse!! The lady who answered to me and didn’t want to transfer to her boss or the person I called for, started yelling as crazy to me. Asking me personal information but she denied to give me even her name or transfer the call. I even advise her to take a valium and she hung up on me. Crazy lady

Excellent hospital, very well located and with great access. There is always parking. The level of care is excellent, both from the clinical staff and from the nursing staff and assistants. They usually keep to the schedules for both the exams and the appointments. Very clean and tidy. Very good facilities and with excellent means of diagnosis. I strongly recommend Works for almost all insurance I recommend

My experience was excellent from booking to the end! The staff are super attentive, good professionals, the facilities and equipment are in very good condition. Fast, convenient, in the best way possible! The password machine was broken, but the technician resolved the problem within minutes! It is noted that the management of the unit is carried out by the team that knows what they are doing. Thank you for such a good service!

Long live the privatization (commodification) of health! I had the first-person experience yesterday that you can't be sick on the weekend, or at certain times, because it might not be as profitable for the company. I don't understand where such a large chunk of the state budget for health goes, when a person happens to need medical services at 4:15 on a Saturday afternoon and the hospital is unable, or unwilling, to respond. I had to go to S. João to be seen, because while these leeches absorb taxpayers' money, local public hospitals are left without the means to provide an efficient service for everyone, without exception.