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Cake day: April 4th, 2024

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  • ER employee here, multi-hour wait times aren’t caused by people without insurance seeking care, they’re caused by admitted patients taking up all the ER rooms. The ER would function great even with pretty substantial patient volumes because many of the primary-care tier complaints can be seen and discharged relatively quickly, many not needing anything more than a closet to speak in private for 10 minutes and imaging or prescription. In the hospital I work at, and every hospital in the city, and probably every hospital in your city, the floor that holds the most non-ER patients is the ER.

    The reason for this is because shit runs downhill, and there’s not enough inpatient infrastructure because it’s expensive during the summer to have excess beds not in use just to have a reserve for flu season. This matters because even nonprofit hospitals are run to make money to pay our CEO ~50x more than the lowest paid employee, which- while a respectable ratio compared to most- is wholly unnecessary. nobody needs a multimillion a year paycheck except perhaps pediatric surgeons with a good bedside manner.