Medical Facilities and Health Information	 Bulgarian physicians are trained to a very high standard, but most hospitals and clinics, especially in village areas, are generally not equipped or maintained to U.S. or Western European standards. Basic medical supplies and over-the-counter and prescription medications are widely available, but highly specialized treatment may be unavailable. Pediatric facilities are underfunded and lack sufficient equipment. Serious medical problems requiring hospitalization and/or medical evacuation to the United States may cost thousands of dollars. Doctors and hospitals often expect immediate cash payment for health services.