I agree with what you said about private hospitals here, but I also feel that I'd rather be in a public hospital in Bangkok than most other hospitals anywhere else in the world, unless I had a great healthcare plan which I don't. So, as someone who's self insured the top public hospitals here work for me very well.
Actually, they may actually be more experienced, rather then less.
First, that may be based on their personal experience.
Also, an obligation to give money to an "employer" (bar, in this case) upon leaving implies indentured labor. As far as I know, bar girls in Pattaya and Bangkok are not indentured, and they are free to go without any compensation to the bar. And they often do - they quit and go back upcountry, or they move to a different bar, etc. That includes the case when they decide to stop working bar and to stay with a farang.
I don't doubt that some bars will request money, and the girl may be complicit, out of obligation, or because of other reasons. And, for the peace of mind, the farang may decide to pay a small amount.
But, ultimately, the bar has no recourse (legal or otherwise) against the girls who leave, for whatever reason.
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