re: people come to the ER at 2 AM for the stupidest crap

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out of pain meds (which will not be refilled my me)...

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Subtle brag

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Scruffy doesn't give them anything unless warranted.

The cost of everything is ballooned in the ER. If people had to pay a small percentage for all ER visits, the non-emergent crap would be cut down.

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This may be one of the reasons at EKL closing was a good thing. It forces people into those Clinics for minor shite that they shouldn't be in the ER for anyways.

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For the majority of us that is not the case.

It is a perk, but not the motivating factor.

Hell, I picked one of the lowest paying fields

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Internist? Eh, you'll still make north of 150k for 40 hours of work.

Look, I don't have an issue what y'all make. You deal with life and death shite and you go to school for a long time. That said, I'm just around a lot of doctors lately and sometime I just want to shake them because it's like they don't realize how good they have it. What other professions, on an average, pays 6 figures for 40 hours of work? It just doesn't exist.

Anyway, I'm done derailing this thread. Yes, people go to the ER for dumb things and it drives everyone's premiums sky high. People also know dick about personal finance coming out of high school. What can you do? 'Murica.

It's no wonder healthcare (and everything else) costs so much in the United States. Millions of worthless people - with no no jobs, no contribution to society, no purpose in life, yet multiple kids (with no chance at a decent future) - use the ER as another example of their personal "rights" to whatever the frick they want. They have no means or intention of ever paying for the thousands of dollars of tests, treatments, and services they receive, and they don't give a single frick about the time and resources they're costing others.

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For the majority of us that is not the case.

It is a perk, but not the motivating factor.

Hell, I picked one of the lowest paying fields.

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Still at least 6 figures?

I understand the motivating factor side you're saying though. I got into the field to help people too, just sucks I have to care for others abusing the system too.
I'd rather spend my 12 hours taking care of the sick, instead of passing out dilaudid and ativan to the sicklers, alcoholics, other habitual er visitors.

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This. As someone directly effected by all the crap ED physicians order...I say take your 3 day work week and 350K+ salary and quit your bitching.

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Iago:
O, beware, my lord, of jealousy;
It is the green-ey'd monster, which doth mock
The meat it feeds on.

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was a major motivator in the ACA. get people into the MD office in the daytime and the overall system will cost less to run than if people use the ER.

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That aspect failed miserably because the ACA does not account for human nature.

Individuals are reactive, not proactive.

If I recall correctly, ER visits actually increased after the ACA passed.

People come to the ER for the dumbest crap at all times not just 2 am. The other day a guy walks in and states his shoulder is hurting and needs a look. Moments later he asks the doc, "could you also check my penis out? I've been having this white discharge coming out." GTFO

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You give Dilaudid to sicklers?

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Dilaudid is passed out to almost all people in pain, seems to be the new standard of care. It is a product of pay for patient satisfaction scores. I wish more ER's would be Dilaudid free ER's. From what I hear, Dilaudid-free ER's require a strict algorithm to be followed to order Dilaudid.

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Most ER MD/PAs are part of the problem, not the solution. Especially the fricker I work with. Orders Dissections/PEs like they're more frequent than the common cold. Mostly on perfectly healthy patients from early 20's to mid 30's. You've got a belly complaint? CT and/pel. Headache? CT head. On and on. Complete with full workup of every diagnostic tool at their disposal. No matter the level of urgency. Ordering tens of thousands of dollars worth of exams/labs before even seeing the patient. 90% are non paying, no insurance patients

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ER docs get sued more than average, so cover your arse medicine occurs often. That said, most ER docs know when a test is superfluous or not. Saying "most" ER docs are part of the problem is painting the field with a very wide brush, and I think that's unfair.