And guess what? There will be no charge of murder, it will be obviously suicide... a patient has lost a leg... bleeding badly, and he should have gone to see his doctor first, You know, the one who went to the Bahamas to play golf with his buddies... too fucking bad, the ER won't take you...its your fault for having an accident that took off your leg...guess you will have to lie on the hospital floor and die, just like the Republicans want you to do..

And guess what, Republicans have it in place they won't have to treat Brown, Black and Yellow people. Just white people, right??


These Republicans are fucked up in the head. They need to be taught a lesson, It will soon be them going to the ER soon... after someone gets so fed up with the system and you pushed them off the deep end. Than its YOUR head soon, asshole, just wait. Push people too far, and they will come after you like the rabid dogs you all are.

becasue they don't have a doctor or walk in clinic. They can't afford it.

as a way to undermine the ACA and make the problems of overcrowded ERs even worse.

Hospitals should be able to set up a clinic next door to the ER and when someone shows up that does not need ER services they should be able to send them over there.

I am a data analyst for an insurance company and have access to millions of people's health data including ER visits and probably only 25 percent of the people who go to the ER need to be seen there rather than somewhere else. It is not uncommon for people to go to the ER 3 or 4 times per week for sinus infections and colds, which cost exponentially more for the same services they could get at CVS minute clinic or their PCP.

I'm definitely not advocating they could turn people away for any reason but they should allow them some leeway to set up alternative services for people who truly don't need the full ER experience.

Emergency rooms are required to treat people independently of their ability to pay. A clinic is absolutely able to turn people away if they can't pay, and most will require you to pay up front if you don't have insurance.

People aren't going to the ER because they're stupid and don't understand that it's not an emergency (though that does happen). They are going to the ER because they can't afford a regular clinic, and they are poor enough that the ER will never collect.

People with insurance who go to the ER aren't the problem - that cost is already figured into your insurance. ER's cost more because they assume a much greater portion of their patients just won't pay.

I worked an off-duty job as security in an ER when I was a deputy.

There are a lot of people who show up out if desperation yes.

There are also a lot of people who show up who don't need to be seen anywhere. Your bad cold or your everyday flu isn't an issue for the doctor or the minute clinic at all, much less the ER.

There are also a whole lot of people who show up there who could go to the minute clinic at the CVS and have the means to pay for it- but they know that they can avoid paying anything if they go to the ER so they do. I've been there, seen that with people who I knew and knew their situation. The person who shows up at the ER for the flu but the week before and week after had money to be out partying. It was not that they couldn't afford it, it was that the $25 for the minute clinic would mean $25 less to go party.

It's not a one size fits all problem. Some people are there outbif real need. Others do abuse it.

In fact, I’ve never heard of such a thing. And how much does a visit cost? Because if costs ANYTHING, there are people who can’t afford it. Take insurance profits out of the equation and address equal access for all and we can begin to address the problem.

The root problem is a lack of affordable basic health care, and using ERs for that level of medical care is not supportable. It's an appalling high-cost solution that raises costs for everyone.

But if all you do is turn people away from the ER, without offering supportive care, they'll end back in the ER with bona fide illnesses. An untreated cold that turns to pneumonia, a cut that leads to sepsis, an untreated bruise that leads to a blood clot.

The most cost effective way to bring down healthcare costs is to provide sufficient, affordable health care to keep small issues from becoming life-threatening. You'd think we could figure that out and do not only the right thing, but the frugal one.

How about in your insurance job you figure out how to get everyone insured with QUALITY INSURANCE?

People go to the ER because they want immediate results and know they can't be turned away, even if it costs them more money.

CVS minute clinic takes people without insurance and can handle 75% of people's problems that they go to the ER for, yet people still go the ER.

My job isn't to get people insurance, my job is to make healthcare more affordable by helping people understand where the waste is occurring and taking steps to eliminate the waste.

Immediate results? ERs are overflowing b/c they're the doctor of last resort. A lot of people in this thread are missing the point; in no other country that claims to be 1st world, have I heard of ERs which are overflowing. In other countries, people have a right to healthcare, so medical needs can be taken care of before they get to ER stage, and ERs are able to function better b/c they're only used for actual emergencies.

Don't get sick.

If you do die quickly.

We live in a prosperous, "blue" area. The local hospital just announced a $20 million+ expansion, but we can't figure out why: there is a severe shortage of doctors. In June our doctor of many years retired. It never occurred to me I'd have a problem finding a new one, but I'm on a waiting list for a mid-December appointment with a Physician's Assistant. My husband, who has a complicated endocrine-related problem, came back from his appointment with the specialist yesterday and announced she's moving to another state and there's no one to take her place. He may have to travel to a larger hospital an hour or so away if another doctor isn't found. He can travel, but many of her patients can't. There is a nearby chain urgent care facility I've used a couple of times since my doctor left. They're perfectly fine, but their primary motive is profit so many people can't afford to go there. Walk-in clinics at the local hospital would ease the burden on the remaining staff and make life much easier. It's a nuisance to have to make an appointment for a minor problem that can be taken care of in a short visit to a clinic. It would lessen the load on ERs, too.

before all this insurance brouhaha, when one may carry only hospitalization or major medical voluntarily, there were walk in free clinics associated with hospitals. Or, when you went to the doctor and maybe couldn't afford to pay for the visit (usually pretty reasonable), very often they would set up a payment plan for you. People really weren't turned away.

Doctors charge more now because of all the paperwork required for insurance and these large 'medical groups' that have arisen in order to better negotiate with insurance companies about fees. We pay for the attorneys who negotiate with the insurance companies. It's no longer about healthcare, and doctors decisions about treatment and medications are overseen by insurance companies.

You have no idea about how many times I've gotten messages from my insurance company about my medication, and how I should change it to their recommendation. The person generating this correspondence has no idea that I've tried that med and had a bad reaction to it. So I have paid for someone who doesn't have first hand information about me to make decisions based on some 'data', for the correspondence sent to me and all the other junk mail I get from them.

Sure they have a nurses hot-line to help me with my medical questions, but the person on the other side of the line has no clue as to my particular health concerns (not many at all, thank goodness). This is something else we pay for.

They get donations and have to do something with the money.

Come to mind?

you can do one of three things:
1. Mandate by law that everyone be insured.
2. Put everyone on Medicare.
or
3. If you show up to the emergency room and can't pay, roll that person right back out into the street.

I would prefer #2. #1 would be better.
I have always suspected that a lot of people use the emergency room as a primary care provider.

They really don't care what kind of murder it is as long as it's just the working class and poor. Killing by guns, cops or now the medical establishment, any and all of it is just fine with the racist hating crazies.

Of course it is our national duty to take care of the 1% or gasp, they might not create jobs and could close the companies that make them a fortune!

so she couldn't care less

It's true that non-emergencies should go to a doctor's office or walk in clinic/urgent care if they're not about to die.

But it was GOP politicians who constantly repeat the dangerous lie that people can go to the ER for free. Or that there's no need to buy health insurance. They have been deliberately making the problem of overcrowded ERs worse.

The ACA actually caused tons of new walk in clinics/urgent care centers to open up where I live since lots more people have insurance to cover annual checkups, screenings, vaccinations, and minor illnesses, etc.

...who have no clue of how to make laws...


No, an emergency room can't deny medical care to a patient.

It is not only a law, it is a universal principle

Universal principles are few but are above the law. It will always applied before any kind of law.

It is really baffling. Many professions require a due access otherwise cannot be practiced.

But anyone can become lawmaker or president, do everything and anything. No matter if that hurts millions of citizens...

It is not only in the USA, it is everywhere...

It drives me crazy !! Waste of time, waste of public money, zero result. Above all that, lucky we are if by chance, some stupid rule did not hurt too much people...

to die instead. Or suffer, if the condition isn't fatal. They are so evil.

Other famous COMPLAINTS:

"I have to teach everybody that walks into my classroom."---TEACHER.

"I have to ring up everybody that gets into my line."---STORE CASHIER.

"I have to give menus to everybody in my station."---RESTAURANT WAIT-PERSON.

And the BIGGEST COMPLAINT OF ALL:

"I have to be the President of everybody who lives in the United States."---TRUMP.

Many people are going to emergency rooms who, clinically, have no business being there.

many local Dr's began grouping together to staff these places in my area. They provide everything in the way of services. They have an emergency areas but still have to depend on getting patients to hospitals. I now see my family practitioner, my cardiologist, pulmonologist, and surgeon all at one place. They do the blood work, xrays, and CT scans. Eash on can see what services I received.

These weren't that prevalent before ACA came along, the ones out there were owned usually by a Dr. and not adept to handling much, today they have state of the art technology.

Mine is a large facility that has just completed a 4th one in the county. There is a one on the border of the city that has a huge flux of low income and minority patients. My previous physician was on their staff in turn she ran their rural health center.

As the ACA evolved we saw more of the little ones close in favor the large centers. Our local hospital closed one ER in the 2nd hospital they took over. It now forces people isolated on one side of the mountain to travel another longer distance to receive care. The 4th Urgent Care facility just opened with in the spear of that section.

and someone authorized to send patients to urgent care instead of the ER.