I don't expect the latest and greatest from my local county hospital -

[Lifelong Protester]

2. Our experience at Mayo has been very good

so I can't say a negative about them. They have bought up all the clinics around here, which I am told is not good (too monopolistic). The advantage is that if you are in a local and something is really, really wrong, you are already 'in' with the Mayo Clinic.

For all medical care, I have found that you have to be your own advocate-keep file folders of information on what you have had done, results, etc. My spouse drives me crazy with this, but it pays off!

I would say, it all depends on what is/you think is wrong with you. For many things, the local is just fine.