 During the year 1967, 16.45% of the total deaths in the city occurred without medical attendance, and 14.43% with incomplete medical attendance.Added to this problem was the fact all the four national hospitals located in the city cannot accommodate all needy patients and even refuse some 8,000 patients a month.The enactment on June 22, 1957, or "Republic Act 1939", otherwise known as the "Hospital Financing Act", spurred the City of Manila to establish its own hospital.