Romania has a universal health care system; total health expenditures by the government are roughly 5% of GDP. It covers medical examinations, any surgical operations, and any post-operative medical care, and provides free or subsidised medicine for a range of diseases. The state is obliged to fund public hospitals and clinics. The most common causes of death are cardiovascular diseases and cancer. Transmissible diseases are quite common by European standards. In 2010, Romania had 428 state and 25 private hospitals, with 6.2 hospital beds per 1,000 people, and over 200,000 medical staff, including over 52,000 doctors. , the emigration rate of doctors was 9%, higher than the European average of 2.5%.