Fast food is being sold in dozens of hospitals across the United States, a doctors group found in a study of more than 200 public hospitals.

Chick-fil-A has at least 20 stores inside of hospitals, McDonald’s has at least 18, and Wendy’s has at least five, according to the Physician’s Committee for Responsible Medicine.

The report notes that patients, doctors, and others in hospitals used to be able to smoke cigarettes in hospitals, after purchasing them at shops inside the facilities, and compared the present situation to the former health hazard.

“The previous generation dealt with cigarettes. Now it’s time to tackle meat, cheese, and all the fat and cholesterol they are packing into patients’ arteries,” said Physicians Committee president Neal Barnard, M.D., in a statement. “Hospitals need to end contracts with fast-food chains selling Big Macs, chicken nuggets, and double bacon cheese burgers.”

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