Doubts are being raised about the necessity of a new world class hospital in Papua New Guinea's Central Province between Port Moresby and Bautama.
Cabinet has endorsed the project, which is a partnership with a team of doctors and management officials from America.
A Coordinator for Social Work Services at Port Moresby General Hospital, Tessie Soi, says there is a risk the new centre could become a white elephant.
"My biggest concern is that it's going to just replicate what we've been struggling to do here as a teaching and referral centre. You know, we lack here at the Port Moresby General Hospital just the basic things like medications that could be provided so easily but because of funding and other issues that we have, we're not able to get that."