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It isn't just the number of staff but their training, says a senior manager at a hospital in Barlad in northeastern Romania "The problem is that there is a lack of specialized doctors," said the manager, who did not want to be identified. According to the government's 2019 report, there were only 610 doctors in Romania with an additional qualification in palliative care, just over half the required amount. Dan Malciolu is a doctor at Casa Sperantei.