If you live in a town where smart and educated people like to live, you get the cream of the crop of doctors. It's very different from living in a backwater where ambitious young people aspire not to live. And most of the world lives in backwaters, with unexceptional doctors who make simple but deadly mistakes when they go off script.
The care I received at that hospital was a night and day difference compared to what I received in the suburbs.
My favorite experience was the time I was very sick, went to a doctor in the suburbs and was told I was absolutely fine, despite the coughing, difficulty breathing, looking like I was dying, chest pain and X-ray results. I was sent on my way without even a script for antibiotics.
The next day, I went to see my PCP who demanded the names of the doctors responsible for letting a patient with severe pneumonia leave their care without proper treatment. Said if I waited another day, I'd have to be hospitalized.
Of course, by now there is no turning back, and the government has decided that actually training doctors must be prevented at all costs.
VERY short term vision, constantly sacrificing the future for a quick buck, leads over the span of decades, to spiraling costs and worse outcomes. Who knew ? Well, everybody knew.