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Most hospitals still run on a five-day 8-6 (or minor variation) week, with only reduced cover out of these 'regular' hours. Does the reduced post-op care contribute to the observations, and is it time to rethink of whether healthcare should be a 24/7 service? Sure, there will be many obstacles along the way including staffing and union issues, but this is the way to go to maximize the service to the patients, and the investments into the 'bricks and mortars' and facilities we put into the hospitals.