[haldujai]

I can’t speak for the UK but 70+ percent of the US population lives in urban areas with over half living in the 48 largest regions. Therefore your conclusion that most individuals experience similar interactions with a “poor reputation singular island hospital” is factually incorrect.

Community hospitals can have very complex care and top talent, but not in cities with a singular hospital and island population.

Irrespective of geographic proximity, by your description this location appears to be a medical desert/medically remote. Most doctors, especially modern ones, don’t like practicing in places without a lot of other physicians for backup/support and somewhat easy access to subspecialists for referrals. Fortunately most hospitals and practice settings provide this (i.e. rural Wisconsin was UW-Madison for backup which is generally not that difficult for patient transport and is an excellent medical centre).

The issue here is not just local community hospital providing poor care. You’re taking about a very isolated practice that no one wants to work in, this is an outlier.