The problem with emergency room usage isn't illegal immigrants. It's the people who are told by their doctors that they can't be seen right away and decide on their own to go to a clinic. Maybe they decide that they don't want to take time off from work and put off medical care till after hours when the only alternatives are emergency rooms and urgent care facilities.
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MR. WILLSMALL: I went to the downtown clinic cause when this happened I wasn't able to work. I lost my job. I lost my apartment.
DR. NORFLEET: Okay.
MR. WILLSMALL: And so, I'm just trying to get help.
DR. NORFLEET: Yes, Sir. We are going help you, okay?
He's complaining of vomiting blood. It's been going on for a month so it's not really considered an emergency anymore. It's considered a chronic problem, but we get a lot of patients like that, that the emergency department is the only place they know they can go to, to maybe address their problem.
He didn't have the luxury of having a primary care provider, which is a luxury in this country, which is kind of sad. We're like the richest country, you know, and a lot of our people don't have doctors so they use the emergency department in order to see a physician.
NURSE: Say, "Ah." You've got a lot of congestion in the back of your throat. Do you feel like its kind of sitting there?
DENTIST: Well, that second to last tooth is infected and the very back tooth looks broken off.
PATIENT: All right.
MAGGIE MAHAR: Over the last 12 years a number of people visiting America's emergency rooms has soared. Yet here's what's surprising: The number of low-income people going to ERs has not increased. The increase has come almost entirely among middle-class people and many of them have insurance.
NURSE: Whose insurance do you have?
PATIENT: Blue Cross.
NURSE: Do you have your card with you?
PATIENT: Yeah.
MAGGIE MAHAR: So why do they go to the ER? Why aren't they seeing their own doctor? Many people think that they know what's wrong with the health care system in this country. Millions of people are uninsured. And sure, that's part of the problem. But that's not the whole problem. The whole problem is bigger than that.
DR. JOHN NIXON: I am on top here. Any problem up there? Any problem in the back?
DR NIXON: There're just not enough resources out there for, not only your uninsured patients, but also your insured patients. Insured patients have a problem also because their doctors, when they call their office and says, "I need to see…" … "We can't see you for three weeks." "Well, what am I going to do for three weeks?"
DOCTOR: Open your mouth.
Health care costs keep going up, up and up and up. But the access seems to be going down down down down.
All right. Do you need anything for pain right now? You do? Okay, we'll get you something all right? We've got to run some tests and we'll be back.
http://www.pbs.org/moyers/journal/08282009/transcript1.html