Patriotism is irrational — you didn't choose where you were born
Patriotism rewards you for the geographic accident of where you were born. Loyalty to a country you didn't pick is the same logic as loyalty to a hospital you didn't pick — arbitrary. Civic responsibility, sure. National pride, no.
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The "you didn't choose it" part is doing more work than it can hold. Almost none of our strongest obligations are chosen — you didn't pick your parents, your siblings, your first language, the people who raised you. If unchosen automatically means irrational to value, that argument quietly eats loyalty to your own family too, and basically nobody's willing to follow it that far.
So chosen/unchosen isn't really where the action is. The better cut is the one you're already gesturing at with "civic responsibility yes, national pride no" — there's an actual tradition here (MacIntyre's "Is Patriotism a Virtue?", Habermas's "constitutional patriotism") that separates loyalty to institutions and principles you could defend from loyalty to the accident itself. Your hospital analogy really only bites the second kind. Pride in a set of laws and commitments you'd still endorse if you'd been born somewhere else is a pretty different animal from pride in the dirt you happened to land on.