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[Kris]

Because of the fact that the state healthcare in Bulgaria has suffered from extreme under funding for years, it is way behind the UK and other Western European nations in terms of facilities, services and expertise therefore the majority of expatriates in Bulgaria take out international expatriate health insurance so that they can afford private medical care.
Also in terms of the availability of hospitals, clinics and medical services in Bulgaria all major cities and towns have at least one hospital and most doctors in state and private hospitals have at least a rudimentary understanding of English. Of course this means that in an emergency someone doesn't have to panic and try to find interpretor! In Bulgaria expatriates who fall ill will need their friends or family to help out or else they should see about being repatriated to where their home country is.
Some expatriate medical insurance schemes have repatriation included but some do not; So for those concerned about ths it will be necessary to find a provider who will allow for the repatriation of the patient in an emergency.