I agree TT, and the hospital, of course, gets short shrift.  Guza has cut a lot of ties between the hospital and the mob.  Jasons's family were doctors.  Emily & Alan are now dead, and Monica is rarely on.  Sonny, I believe was a board member at the hospital, but that is never mentioned, and he is rarely there.  As a matter of fact, I think several prominent residents were board members and would show up at the hospital (Jax comes to mind also).  The Q's were definitely very involved at the hospital, but there are very few Q's left.  The most obvious example of Guza's lack of interest in the hospital was the Toxic Ball Bomb.  Very few actual hospital employees were involved in the story!  I also think Guza likes to keep most scenes between only a very few characters.  We used to see scenes at the hospital overlapping.  People would be in and out, and characters would run into and acknowledge each other.  Same thing with Kelly's Diner, The Outback, Luke's Club.  Seems any scene with more than 2-4 actors now involves a huge event.  A new viewer would hardly know who knows who in Port Charles. 
You have to wonder if this is a defect/weakness/oversight/inability/intentional  on Guza's part -- but it is obvious that all he cares about are the Fab Four and the Mob. I guess if it were up to him -- he would write the hospital out.

I haven't watched in forever -- but I keep hanging around hoping that Guza will be fired -- but for some reason, they stick with him.I guess because GH gets nominated for all those Emmys.

*shrugs*