Bago Region national university, Pyay Technological University and two local universities, Pyay University and Taungoo University. The general state of health care in Myanmar is poor. The military government spends anywhere from 0.5% to 3% of the country's GDP on health care, consistently ranking among the lowest in the world. Although health care is nominally free, in reality, patients have to pay for medicine and treatment, even in public clinics and hospitals. Public hospitals lack many of the basic facilities and equipment. Moreover, the health care infrastructure outside of Yangon and Mandalay is extremely poor. For example, in 2003, Bago Region had
Yangon universities in the country, highlighting the extreme shallowness of talent pool in the country. The wealthy bypass the state education system altogether, sending their children to private English language instruction schools such as YIEC or more widely known as ISM, or abroad (typically Singapore or Australia) for university education. In 2014, international schools in Yangon cost at least US$8,000 a year. There are over 20 universities and colleges in the city. While Yangon University remains the best known (its main campus is a part of popular Burmese culture e.g. literature, music, film, etc.), the nation's oldest university is now mostly