ER Overuse Debate

Discussions center on the appropriate use of emergency rooms, reasons for overuse like limited urgent care access and delayed primary care, challenges in true emergencies where patients rush to the nearest ER, and related issues like costs, insurance, and EMTALA.

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Keywords

healthcaredive.com ED EMTALA EMT EMS UK USA i.e MO EKG er emergency hospital urgent ers ambulance hospitals care medical room

Sample Comments

steanne • Aug 2, 2023 • View on HN

not everyone who is rushed to the emergency room arrives in an ambulance.

softawre • May 2, 2018 • View on HN

I think the concept of not going to an emergency room unless it is an actual emergency is well known?

metalcrow • Oct 9, 2025 • View on HN

most people don't really go to the ER willingly really. In situations where there is an emergency i'm unsure what the alternative is.

MereInterest • Sep 22, 2021 • View on HN

The nature of medical emergencies prevents actual markets. If you have a chest pain, that's not the time to be comparison shopping and reading reviews of different hospitals. It's the time to get to the nearest ER while you can. Markets rely on well-informed buyers, which are just not possible in the circumstances.

jbi • Jun 9, 2015 • View on HN

Uhm.. Sometimes there is a need to go to a hospital ;)

Udik • Nov 6, 2018 • View on HN

> Lol what? It's the job of the state to provide adequate resourcesIsn't it the same with ER? People are severely discouraged from using ER for any concern that doesn't require an immediate action. ERs, like ambulances, are services whose time and resources need to be highly available for those who really need them.

ethbr0 • Aug 22, 2021 • View on HN

In general, if you're not going to die in the next 3 hours, don't go to an ER.Because of the laws surrounding ER care [0] and the fact that most hospitals with ERs are Trauma I & last resort, almost all operate in triage all the time.The end result is that if you're not critical, you get care once they have enough time. And they never have enough time. Because they never have enough people.Recommendations: only consider ERs in wealthy suburbs (where they'll be le

jrs235 • Jul 2, 2021 • View on HN

Should probably have gone to an ER. Emergencies are easier to argue and appeal. "Urgent" (yet less costly) and they assume you still could have waited... it wasn't an emergency yet. I hate our insurance/medical payment/determination system. It's a joke.

smacktoward • Dec 8, 2017 • View on HN

If you seriously require the services of an ER, you're not going to be in a position where you want to spend time comparison shopping.

ceejayoz • Mar 17, 2021 • View on HN

If I’m having a heart attack, healthcare is distinguishable by “what’s the closest ER”. The ambulance crew is unlikely to even permit a choice in the matter.