Most patients were paying big money for their insurance and were often upset when their prescriptions required a $50 co-pay, or they had not met their $4,000 deductable and must pay for the entire cost out-of-pocket. In 1960, the Ayala Group of Companies offered Mariano Que a space to lease inside the shopping center that was about to be developed in the heart of Makati. The respiratory therapist's tasks include offering the precise measurements of oxygen or other types of gas concentrations within the patient's blood along with measuring blood alkalinity or acidity levels.