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Comment by IG_Semmelweiss

Thats certainly true, but not always so.

There's a strata of use cases that left in limbo in your argument.

Im a basketball player. I may have a microtear of a ligament from a 9pm game. The ortho guy, the pain doc, the sports med and my pcp are closed at 9pm.

I have no options but to go to the ER. I know because I've been there. Multiple times.

My kid is breathing and I can see his ribcage from forced breathing? If its past 5pm, its definitely an ER trip.

I pierced my hip with a chain link fence and need irrigation for the wound? ER trip

None of these injuries are life threatening. I'm not poor. My time is super valuable. i charge some clients $700/hour. Yet in each case, I spent > 4 hours in ER !

Now- I will literally wake up MD friends and ask them to write me a script to the 24hr pharmacy instead of waiting in ER for meds.

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