https://www.nytimes.com/2018/01/01/us/at-veterans-hospital-in-oregon-a-push-for-better-ratings-puts-patients-at-risk-doctors-say.html

quality control makes hospital care worse

Roseburg OR is a small rural isolated town - they probably have 1 or 2
other hospitals in town besides the VA hospital - seems to be 1 other
hospital - https://en.wikipedia.org/wiki/Mercy_Medical_Center_(Roseburg,_Oregon)
which is a Level 3 trauma center but is the only hospital in the
county

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