In rural hospitals Are less advanced in terms of technology due to lack of modern medical equipment that the patient is not treated quickly, perhaps to send a patient to keeping the city with more tools. This may be because it takes time to heal before getting into the city. May cause patient death. In terms of manpower, lack of medical care, the treatment is not sufficient to meet the needs of patients and lack of medical care, sometimes doctors generally would not dare to, such as surgery, appendectomy. Surgical birth Because the tools are not standardized which may cause adverse effects. Finally, patients were forced to delay the treatment of a large hospital may be more severe and difficult to treat. They also lack the budget to buy things that are wheel-chair patient bed facilities like ambulances and patient enough.