sp4149;842839611 said:
Overall I concede ER costs are a major problem, however it is a fallacy to assume that Hospitals always treat or provide ER care to everyone.
Yes of course - ER coverage is nowhere near sufficient - but it is the only coverage for a large segment of our population and represents a large set of costs.
Interestingly, there are a lot of people with insurance who still only receive healthcare through ER even though they have access to other services so even providing universal healthcare coverage wouldn't necessarily change that overnight. Here's one study that gets into it in Canada:
Quote:
Frequent ED users have previously been characterized as individuals of low socioeconomic status with limited access to primary care, often presenting with nonurgent complaints. However, recent studies have found that this group of frequent attenders also includes many patients who have complex medical issues and adequate access to primary care services.2 In light of the heterogeneity of this group, more research is needed to clearly define the potential subgroups of frequent users in order to develop intervention strategies.