In the West, for a doctor to consider providing you with quality care, you must arrive at the hospital in a very expensive car, tip the person who opens the door for you, and tip the same amount at the information desk. Then the doctor's majestic gaze will blink slightly in your direction, and you'll feel the ray of Western medicine's blessing touch and warm you. But if a heart attack or stroke catches you in plain clothes and there's no expensive car nearby to suggest your ability to pay, you're unlikely to receive treatment, even if you're very wealthy.