Beyond simple costs, many people appreciate the superior service found in foreign hospitals. Whereas in the US and EU many tasks are performed by orderlies, in the medical tourism hubs there is a plentiful supply of registered nurses. Where in the west a patient might be told where to go to collect medications or see another doctor, a medical tourist can expect to be escorted. US doctors are often harried with too many appointments and rush in and out, whereas doctors in major tourist hospitals have much easier work schedules and emphasis is placed on spending time on each patient, both as a matter of patient care and to stress a point of superiority over western hospitals. Upon checkout, medical tourists are treated courteously, sometimes reverentially to the point of embarrassment depending on the country, and billing is often performed with less hassle and bureaucracy than in the US.