For me its easy but a Hospital doesn't fit for a modest rural medical facility after all we are talking limited bed space and services, handling routine surgery and the like but anything serious would have to be sent to a hospital. So could I add Small Rural Hospital/Large medical Clinic for 1 Dot, a skyscraper is one dot I think a limit services but decent medical facility for family medicine should fit that?<br/><br/>Above a doctors office/practice and under a full service hospital more has a place she can do simpler surgery and maybe six beds for patiants who need care consistant for a period of time.<br/><br/>And lets see Housing (Poor) I think that adds a dot? And a criminal district the bad area that went after the factories and all left. Might have cheap brothels, drug making operations and the like.<br/><br/><br/><br/><br/><br/>