I think I left out an important fact...the ER I worked at was an inner city ER mainly patronized by the area’s less prosperous and less well educated.That’s the extent of my experience...if I had worked in a suburban (or rural) ER perhaps my view would have been different.
Oh, don’t get me wrong..I wasn’t criticizing your post nor was I offended.
Sorry for the confusion. I understand the point of your post.