Like in many parts of the world, larger “small business” provides a solid tax base for the government and jobs for the people. The guard is standing outside a family owned hospital that has maybe 40 beds and a basic medical infrastructure and employs maybe 50 people. For the workers a hospital as this is the first step into a medical career after their education as most of the employees such as nurses and med techs will one day be working in the developed nations. The guard will likely still be here.