in fact of romanian respondents compared to across eu countries said that they felt they had to make the extra payment or gift before the care was received in contrast said they made the informal payment or gift after care was provided moreover about one fifth of respondents in romania said that they had been asked to go to a private consultation with the doctor in order to be treated in a public hospital there have also been some unfavourable trends including rising mortality rates for the most common causes of death cardiovascular diseases and lung breast and colorectal cancers increasing numbers of new hivaids cases and falling immunisation rates