I don’t doubt that what you say is true.
What we have though, is a situation of rational people trying to deal with a government sponsored irrational medical system.
People are going to go to where they can afford to be fixed, and if thing go wrong, they are probably going to show up at the ER.
To me, it looks like that’s how it’s going to be, because there isn’t any other rational solution.
You know what one thing I hate about working in the ER?
We are the ONLY part of the entire healthcare system that can never say no. No matter what stupid decisions people make, no matter what the circumstances we can never say no. The floors can refuse admissions, the ICUs can close, ambulances can refuse to take people to the hospital they want, consultants can refuse to see patients, families can refuse to take people home, but we can never ever ever say no. Gets a bit tiresome.
Lots of days I feel like the guy at the circus who gets to follow the Elephants and clean up.