The game was good at 1st but now I reach higher levels and it is almost impossible to even advance to the next level. I have been on the same level for 5 days now and I cannot get any further. The don't lose your customers levels are really hard when they all come at once and you have a one slow nurse to attend to everybody. This game wants you to use real money in order to advance to other levels. I will be Uninstalling, there is way to many other games to play besides this one.