Without the “misuse,” how many hospital ERs would remain open and well-staffed enough to concentrate a trained force of medical professionals to deal with the real emergencies that roll in ?
EVERY person presenting to the ER should be triaged by a mid-level practitioner (PA or NP).
If their condition is not emergent, the should be offered the choice of: a) paying the entire bill w/ cash/credit card at the time of service, or b) told to see their primary MD in the morning.
People that don’t pay for their care (medicaid) anyway are the ones clogging the ER, and they are the ones that think nothing of raising hell for having to spend HOURS waiting to be seen for their mild case of the sniffles.
The ER is NOT your doctor’s office!