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An ambulance on its way to somewhere in Manila. Overall the healthcare system in the Philippines is of a high standard; the quality of the country's state subsidized public health care varies widely between rural and urban areas. As of April 2020, there were a total of 114 Level 3 hospitals (the highest level) in the Philippines with the majority of them located in Metro Manila. A Level 3 hospital includes accredited residency training for physicians in the four major specialties: Medicine, Pediatrics, Obstetrics and Gynecology, and Surgery.