kiwisub12 -> RE: Another hospital tragedy (8/20/2008 2:49:07 PM)
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this addresses the long wait times - as long as people treat the ED as a convenient, all-hours clinic for minor ailments and injuries, the wait times are going to be horrendous. I spent 10 years working in an ED, and people would use us instead of their doctor because they didn't have to upfront money. I had a woman come in at 3 am with lower abdominal pain - that she had had for 4 weeks. I asked her what made her come in tonight - trying to see what made it an emergency - and she replied that she didn't have anything else to do at that time. She had PID, which could have been treated at her doctors office at any time, if she had made any effort at all. The people that are the ones that abuse the ED are the lower income people - the ones who have limited insurance, and limited access to affordable health care. They tend to be the ones who delay getting health care because they hope things will get better without doing anything. As a result a cat bite becomes a surgery candidate instead of just a course of antibiotics, a sore throat becomes tonsillar abscesses, and PID becomes peritonitis. None of these sort of things are lifethreatening, but need care that day, and waiting times reflect this problem. Affordable healthcare and insurance is the only way i see to change this trend. I also think that an upfront fee in the ED will discourage the people who are using the ED for sheer convenience sake. I would say that demanding $10 would be enough to stop this.
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