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Estonia, a small country in northern Europe had a population of about 1.325 million people in 2012. When Estonia joined the European Union in 2004, healthcare workers began leaving Estonia for other countries with better pay and working conditions, such as Finland, where physician salaries were as much as four times greater. The ageing and shrinking healthcare force had become increasingly overburdened with the country’s healthcare demands.

Estonians have long held a tradition of singing.  Beginning in 1869, Estonians have held a song festival every five years called the Laulupidu during which thousands of Estonians gather to sing together.