Dammit Jeff. One is lowest number of stars. It's an arbitrary number. Anytime you see a review that starts "I wish I could give this zero stars..." you know you're dealing with a knucklehead.
[1] http://www.nytimes.com/2013/12/05/health/think-the-er-was-ex...
One thing to note is that there is a hospital at the location he was evacuated from, so if it was a true emergency, they could have operated right there.