Chronic pain treatment in 267 Neurosurgery and Oncology clinics in Europe

Ok

A real life saver!

I went there twice to get some treatment. Both of my problems were solved as quickly as possible and never bothered me again. Very professional staff. Not sure if they all speak good English, since I spoke Czech but they were trying hard to understand me, a foreigner.

Very Good Hospital Equals With The Englands National Health Service.

If you're a foreigner without the local medical card/number you end up sent to emergency here. I had a sore throat for a week and no other doctor would see me, all pointed me here. I found it very difficult to navigate, having to ask people on footpaths for directions even to find the emergency building. Before entry a metal box building near the entrance had someone ask me questions then perform a covid test. When inside, with much language difficulty they sent me to the nose/ear/throat building. Again not easy to find. Here I was told off for using the ground level entrance, being directed down stairs to a door. When opening the door I was yelled at to wait. After waiting a while with others queued up, another person opens the door and gets let in. Several locals who arrived after me instantly jumped the queue. I asked how long the wait time was, they laughed and said "long". Asking if that meant over an hour they said yes more. I was fed up and left. Came back in the afternoon going other staff are there, the same people were there, they remembered me and my Hungarian friend said they were all saying that I must've not waited through the queue in the morning. They were not helpful in any way, instead all trying to prove to each other that they did their job correctly. I left again. Eventually with local help I found a nose/ear/throat specialist who does private consultations for cash. If you can, avoid this place.

Awful service, disrespectful staff who speak to patients in an extremely unprofessional and belittling manner (most of them anyway). At other healthcare clinics this kind of behaviour would result in termination of employment. Looks like in this clinic, unfortunately, this is the norm. We've visited at least 4 buildings at the clinic and we had the same awful experience at all of them. They send you from one building to the other and no one knows what's going on, wasting SO much of their patients time. On top of that it's very sad that their employees feel the need to power trip at patients. I understand they might not get paid too much, but still they should be respectful to others.

Not as professional and friendly as they promote, all about earning money from you or your insurance but with very little care or treatment. All year with appointments and specialist for cancer an tumours ,scan after scan but not any diagnosis or treatment and suffering with swollen eye, colour change, nose and cheek burning pain and insane pressure on head and face but still no help , even though colour change on scan for my rights side of brain , cyst inside my face and gigantic problem at the back of my head and they say no problem and haven’t operated or treated. I hope I’m not dying but still don’t have any diagnosis or confirmation of anything.Now thinking I need to go to another country for help ? Wouldn’t recommend to nobody?? They won’t do anything about these reviews and even give the same answer to each person.

Avoid this hospital! I had to visit the hospital because of a sinus infection, but was rushed into several entirely useless procedures just to hike up the bill. The whole experience was horrible with unfriendly and rude staff. However, the worst part was that a nurse stole 340 euros from my purse in my handbag that I left in the examination room with the nurse when I was pushed into a toilet for another useless test. The hospital operations reeks of scamming people in every possible way. Despicable behaviour preying on people in a vulnerable situation.

Avoid this hospital My husband was admitted to this hospital in 2021, 2022 and 2 days ago. In 2021 I visited him on a Sunday, and he was on the floor (with a broken leg) trying to get onto the sofa, to get out of the window as he was hallucinating. He was on the second floor! The window was then closed and locked but no-one had noticed my husband on the floor, which is a worry. I then had to push for a brain scan, which, according to Xanit showed nothing abnormal. He has now been diagnosed with dementia at Guadalhorce hospital, so I chose to go private again to make things happen faster. We saw a neurologist at Xanit who said he should be hospitalised. When we arrived at the hospital it took over 20 minutes to park as the car park was full, then when we got to reception there were almost 35 people in front of us. We were over an hour late to get to our appointment and then the computers went down!!! We had to go down to Urgencias to be admitted. They told me he had to go to a hospital in Malaga. I then had to go back to the neurologist, as Urgencias refused to call him, and he told them to admit my husband. There was an amazing lack of communication, and the girl who was in triage was basically rude. We were then subjected to a 2/3 hour wait, then taken to a surgical ward where the nurses all moaned about the fact he was being taken into this hospital. I speak and understand Spanish so was very aware of the things being said and I am absolutely horrified at how we were treated. He was hospitalised on Wednesday, and we were told he would get an MRI and CT scan. My husband was aggressive, and I was told I had to stay with him 24/7. This is not why I’m paying private health insurance. I was told there are insufficient nurses to deal with all the patients they have, so I had to stay. The MRI and CT scan didn’t happen as the machine had broken down!!! My husband was very agitated, and the neurologist and I agreed he would be better at home. Therefore, we had to make an appointment for the MRI and CT scan (29th November) I waited over an hour to make this appointment, while my husband was in his hospital room. There were 6 people in front of me, and one person in reception, who decided to deal with people who jumped the queue and one friend (I think Fran was his name). Reception staff are awful and provide terrible customer service. They wander away on their phones when they feel like it and don’t appreciate that people visiting the hospital may be dealing with life and death situations. They are abysmal and need training. I see from these reviews this has been going on for over a year, so I’m not sure if my comments will make any difference at all. Absolutely shocking service. On a brighter note, when you actually get to see a specialist, they are amazing.

Its been almost 2 years I regularly visit several specialists. Very professional and emphatic doctors! During CT scan procedures after talking to the attentive assistants I feel more secure and less scared. Thanks!

You should dying already before they take care of anything. Not taking anything serious at all

Best Hospital in the Brussels region, friendly staff, great doctors and all multi-lingual

I felt I was in great hands from start to finish & very much appreciated the care shown. Everyone from the consultant, ward team & theatre team did their very best to provide fantastic care. The physiotherapists were also fantastic & really worked hard to get me mobile & discuss any worries. Having such a great, knowledgeable, caring & welcoming team really does put a very stressful situation at ease - The team at the Albyn is second to none.

Attentive and very friendly staff! I postponed my surgery for so many years and so glad that I did it at Albyn hospital. The whole experience was very smooth and professional. Wouldn't have minded to get pampered by the staff a bit longer. Thank you for the amazing experience!

All the nurses and other staff were really nice to me. Always making sure I was ok before and after the surgery. My only questions are about my surgery which will be discussed with my doctor in a few weeks. But overall I had a good staying at Albyn. Thank you.

My doctors were helpful, skilled, professional and provided me a lot of information. After operation services and information is complete with high priority to the after operation services. The urgence for post opération patients was fast and of full service. The nurses when I came before the operation were too busy, they let me in, gave me my wrist tag and gave me 3 medicines but let me waited 2 hours and no one came back to me to update me that the operation will within 2 hours of waiting . I came at 8h50 and the actual operation is at 11h15, in between the waiting hours, no one has came to re assure me and update me of the schedule that made me nervous and worried for 2 hours. All nurses were so busy that morning and talks a lot to each other without double checking or just to give a quick short words to me for 2 hours in the waiting room before the Anesthesist picked me up. Thank you.

I was very well looked after for my first pregnancy. The team was superb, whether it was for the pregnancy follow-up, the day of the birth or the aftermath of the birth. For this alone I say bravo! But above all, I love the student nurses we met, who were full of compassion and kindness, much more than the nurses themselves. I don't give 5 stars because there is still a lot of room for improvement: - at all my pregnancy follow-up appointments, the wait always lasted more than an hour even though we were told to arrive 30 min before the appointment 🙄 - cold administrative reception - a lady at the analysis laboratory shouted at an old man who didn't understand the process (taking a ticket, waiting etc.) when he had just asked nicely what to do - we were scared when our baby was born, that he couldn't latch on, that he was going to starve to death, that we had to go to the osteopath...when a few days later our baby gained weight. We didn't understand the point of scaring us so much when in the end everything was going well.

I am impressed with the level of the hospital, attitude of medical and medical care. Grateful my surgery was handled here with great professionalism. Merci bien!

Reliable clinic with qualified professionals in one well-equipped building. However, prices are rather high, so private medical insurance is recommended. I mainly used insurance with franchise % (partial cover) during the past few years to make all doctor appointments and urgent care. Also I like to buy pirozhki with coffee in a local cafe 🥪 :)

Very accommodating, friendly and helpful staff. It is straightforward to locate the necessary directing signage. clean and well-maintained. The restroom is everywhere. In the waiting spaces, there are couches and drinking water stations. There is a cafe with free internet access and spacious waiting area.

Nice outer image, but Soviet Union on the inside! Customer service is tantamount to what you would expect from the good old Cold War days, with "doctors" that immediately give you the impression that you are beneath them and unworthy of their attention. Very disappointed with my most recent experience despite using them once before and being generally pleased. Come prepared to deal with third-world customer service, a bedside manner that leaves you unsure of what to expect, and doctors that have no empathy much less interest in being kind and professional.

Very bad hospitality.

My girlfriend went to their E.R. It took them seven hours to accommodate us. A nurse misplaced her chart adding to the delay. I understand that there is a triage system that prioritizes severe or emergency cases but waiting for the whole day is absurd. It was especially hard for us, since we are foreigners and cannot speak fluent German. Honestly, it was a horrible experience.

Super...

one day I was very sick and had to go to the Emergency. They said they would not treat me. Because I had to be referred to the home doctor first. I wonder which house doctor can be reached at 4 in the morning? They didn't treat me and I wasn't even able to walk. I cried and had to go to another hospital. Besides, the staff working there were very rude. They were talking to me as if they were shouting at me. And even when I asked some questions, they wouldn't even answer me. They didn't even look at me because I was a foreigner. I do not recommend it to anyone. If I had fainted there, I think they would have referred me to a home doctor.

I visited for the second time the emergency today. The first time nobody could point out a doctor as nobody could speak even a little bit English. Today I found a kind lady in the morning reception who gave me instructions to come again at 18:00, visit the 1st floor, to see a doctor for my emergency. I did. As I arrived I said that I don't speak German. None of the assistamts there could speak. They kept my Insurance Card and I was waiting for my turn. I heard my name and a nurse gave me a cup to pee. I used google translate to ask what the cup has to do with my pain and if they have at least someone speaking a little bit English to say what my problem was. They were explaining to me in German and as I could not understand they were just rolling eyes. If you are German prepare to get some rude responses as the specific assistant was yelling to people. If you do not speak German prepare to die as the punishment for not knowing German is death. I feel very disappointed

Really shocking service - be ready to waste your time. I wonder - what would the world be like if we all had the same attitude to each other as the staff do to their patients? HORRIBLE

Cardiology sent me to ER for a heart issue (atrial flutter). Dr. Garabetyan totally ignored that, and ended up fabricating a non-existent pneumonia. She then IV’ed a fluoroquinolone (floxed me) w/o my knowledge or consent. I now have permanent disability (FQAD), which includes peripheral and small fiber neuropathy, tendinopathy, vitreous detachment (floater) and myriad other disorders and symptoms. Nobody cares, they gaslight you. Be careful.

I visited emergency room in this hospital. Had an acute abdominal pain. I do not speak Spanish well and was afraid of misunderstanding but all hospital staff, physicians and nurses, were very polite and tried to speak with me in English. Also all analysis, CT and medicines were done in a timely manner. Finally, I went home with required treatment. Thank you All!

Thank you very much for safe my life, ZABALETA CARVAJAL, IVAN ANDRES🙏🧚🏻‍♂️and hospital very nice clean comfortable convenient

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.

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.

Good doctor, good behavior. Satisfied patient.

I got to see two fabulous doctors, the first in emerg and the second in cardiology (who confirmed the original diagnosis). Both were extremely caring and knowledgeable. I felt in good hands. Minus a half star for the long wait to see the first doctor (but triage ekg was quick so I guess it wasn’t urgent). Minus another half star for the filthy, seatless public toilet for the waiting room but bonus point for the outstanding quality of the doctors.

You doctors who work in the Pitie Salpetriere hospital, bow your heads to the ground and beyond, for all those children's souls, whom you do not stop from their straight and fast path to earth. May all the joys with which you spoil yourselves, turn you into ashes, and let your empty souls shatter like the lives of the innocent, whom you leave daily prey to their suffering, evil and disease, without trying to save them, although their last hope it was with you. And we are not talking about terminal cases, but about people who can be saved easily, if you ONLY tried! World top 10 hospital: an advertisement for nothing!!! You shouldn't even be in the top 3 of a pitiful city, forgotten by the world! Great doctors who don't even see the patient, just sign to be discharged, and hide behind the reception, because you are busy. With what? Did you destroy the next man's life? How many people do you dust a day? Do you have a commission from cemeteries? Change all the staff! You made terrible recruiting mistakes! Give them difficult cases, without them knowing that they are being tested, and see what "doctors" you have! The rest, take their diplomas and useless documents and start sweeping the street, don't let them have the power to turn good people into dust!

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!

Swedish healthcare in a nutshell. Low quality and racist doctors since free doesnt always mean better. If you dont want to die, travel to a nearby country for 21st century medicine. Also if you read the comments below foreigners all agree. Its only swedes who think their healthcare is amazing. They think that because they compare it to US and feel grateful its ”free”. If you have to wait weeks and months to see a doctor and get a proper diagnosis for even the simplest things; its not worth it and you can die, loose productivity. Its much better if its more expensive and quicker.

European exchange students. Broken finger. We were sent to a private clinic despite having the European Health Card. It seems easier that the pacient goes to a private clinic and pays and eventually and luckily gets their money back from their Social Security than giving them a proper treatment and getting the money from the origin country. Shame

Backward medical system even 100 times lower quality as much as Nepal Especially the old(head?witch?) nurse in emergency reception is killing patients slowly.

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

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.