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re: RE: an ER in NBR - It appears the numbers are finally coming to light...

Posted on 6/13/16 at 3:21 pm to
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27036 posts
Posted on 6/13/16 at 3:21 pm to
How many free standings have made it to LA? And how many urgent cares? Unless polar opposites of Texas you do realize that urgent cares and free standings only take insurance?

It is essentially concierge medicine but in ER to Urgent setting. People pay not to wait. You show insurance before you are seen. Even in ER it is explained to the patient that Medicare is not accepted. Emergencies will be stabilized only and shipped. You will get a bill. Patients trying to work the system and bypass a waiting room are going to get an EKG and an aspirin and they're gonna wait. And the bill you receive will be astronomical. This information turns most people away. Which it should. You SHOULD have gone to a full service hospital ER.

Now if the ER is an extension of a larger hospital. Like OLOL opens an ER on the other side of town, they take M&M. If you are part of the program and open another ER it must take M&M.

Legislation keeps coming and is one step behind the privately owned places, but only one step. And the ER are running out of steps to make. Soon they will all be shut down or changes will make them no longer worth the trouble.

A free standing should NEVER be used for traumas or for that matter for patients who truly feel they may die. You think you're having the big one call 911. You are wasting a step by going to a free standing. In addition realize most free standings have 2 nurses, one doc, and a rad tech. TOPS! Some have less. You want to watch monkeys frick a football? Walk into one with a GSW.

By the posts I am reading on here these are brand new to Louisiana in general. Correct me if I am wrong?
Posted by lsunurse
Member since Dec 2005
129047 posts
Posted on 6/13/16 at 3:28 pm to
Sounds like BR should have made it a priority to do whatever it took to keep the ER at BRG midcity open. They seriously fricked up on that one.

I don't know much about free standing ERs. I think they seem pretty pointless imo. Just call it what it really is...a 24/7 urgent care.


By calling it an ER, it's easy for the public to misunderstand what it is really capable of treating. People see "ER" on a free standing ER and may assume it can handle anything and have some false sense of security if they live close to one.






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