It's the assessment of Dr Edward Fitzgerald from KPMG
The Head of Healthcare and International Life Sciences for KPMG says the Isle of Man isn't alone in experiencing problems financing and staffing its health services.
However, Dr Edward Fitzgerald, who trained as a surgeon, says being an Island does seem to make things more difficult.
Last year KPMG launched a global healthcare hub for small islands, enabling them to share experience and best practice to tailor their approach to the specific needs of their people.
Speaking on this week's Agenda programme, Dr Fitzgerald said health provision and funding isn't just an issue in the British Islands, but on the other side of the world as well:
You can hear the interview with Dr Fitzgerald in full here:
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