In the Northern Marianas the Commonwealth Health Centre has lost three doctors due to the worsening financial crisis at the hospital.
There are now only 24 physicians, after the resignation of the director for Medical Affairs, Dr Michael Deary, whose departure sparked two other doctors to go.
Another physician has also reportedly told management about his decision not to renew his contract when it expires next month.
And local sources say more doctors and health providers are expected to leave within the year.
They have cited uncertainties over wages and the overall condition of the public hospital, which is short of important supplies and equipment.
The Healthcare Corporation now owes over five million US dollars to its workers and suppliers.