So why not take a preventive health care approach, instead of the emergency-room approach, to financial security?
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Indeed, almost every category of costly medical care went down: doctor visits, emergency-room and hospital visits, drug prescriptions.
Later, she would get on her knees on the emergency-room floor and extract the laces from his shoes.
Although his father was an emergency-room physician and his mother a registered nurse, neither could identify what was troubling their son.
Mostly, these companies give financial advice on changing benefits telling them, say, to increase employee co-payments for brand-name drugs or emergency-room visits.
Health plans would have to pay for pediatricians under both Democratic and Republican proposals, as well as obstetricians and emergency-room visits.
Dr Kitzhaber, a former emergency-room doctor, stands apart from most politicians in America's health debate: he accepts that resources are limited.
After twelve months in the program, he found, their emergency-room visits and hospital admissions were reduced by more than forty per cent.
The Rhode Island Board of Medical Licensure and Discipline in 2011 reprimanded an emergency-room physician who posted about her clinical experiences on Facebook.
So, in the spring of 2007, he held a meeting with a few social workers and emergency-room doctors from hospitals around the city.
"We got to the point we had two fans blasting next to our heads so we could go to sleep, " says the 51-year-old emergency-room nurse.
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She walks through the emergency-room doors sometime in the early morning.
This posed a problem for one study in which doctors gave either Natrecor or a placebo to 237 emergency-room patients and followed them for a month.
Some may be as simple as giving patients greater e-mail and online support from their clinicians, which would enable timelier advice and reduce the need for emergency-room visits.
How much money, he asked, did the residents think had been spent on emergency-room and hospital visits in the past five years for the people in this one building?
Once a patient's heartbeat is restored, emergency-room doctors, cardiologists and rescue squads are quickly applying ice and other coolants to moderately lower a patient's body temperature by about six degrees.
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Back when he was in the hospital in the past six months, there had been three emergency-room visits and two locked-ward admissions he had spent day after day lying on a mattress, crying.
At issue were assured emergency-room access, fuller information from doctors, easier access to clinical tests of new drugs, and, most controversial of all, the right to sue health insurers for sub-standard treatment.
But it is up for question whether rescheduling hydrocodone will deter doctors from prescribing, or make it very difficult for patients to obtain it, said Dr. Stephen Anderson, an emergency-room physician in Auburn, Washington.
In December, he introduced an expanded computer database that lets Camden doctors view laboratory results, radiology reports, emergency-room visits, and discharge summaries for their patients from all the hospitals in town and could show cost patterns, too.
He transferred the reams of data files onto a desktop computer, spent weeks figuring out how to pull the chaos of information into a searchable database, and then started tabulating the emergency-room visits of victims of serious assault.
Now, amid what he says is the most devastating hurricane of his lifetime, Crisco has been doing his job as the head emergency-room physician at the Ochsner Clinic, one of only three hospitals left functioning in the storm-damaged city.
Michael Carvin, an attorney representing private plaintiffs including the National Federation of Independent Business, rejected the government's premise that 40 million uninsured Americans are distorting the health-care market by shifting costs of free emergency-room care to taxpayers and insurance ratepayers.
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Red tape is minimal too: though America sees a million emergency-room visits a year from drug abuse, manufacturers see no need to invest in quality control when the penalty for selling contaminated cocaine is the same as for smuggling the pure stuff.
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To make matters worse, Fisher found that patients in high-cost areas were actually less likely to receive low-cost preventive services, such as flu and pneumonia vaccines, faced longer waits at doctor and emergency-room visits, and were less likely to have a primary-care physician.
In 2010, Nicole Hollis, a San Francisco interior designer, designed a two-bedroom apartment for a young emergency-room doctor, Travis Heining, with cheeky nods to bachelor-pad tropes including hiring an artist to decoupage a powder room with vintage Playboy magazine covers from the '60s and '70s.
He predicted states would spend only 2.8% more than they otherwise would have, because their Medicaid programs now have to pay for things such as mental-health services, emergency-room visits and drug counseling that will be entirely or largely paid for by Washington under the expansion.
Of course, Republicans agree, women should have direct access to a gynaecologist or obstetrician (instead of having to see a primary-care doctor first), and of course patients should have guaranteed access to emergency-room treatment and the right to know all the medical options and appeal against an insurer's decision.
Emergency worker Mario Caroli said it took three hours to set up the tent-like emergency room, equipped with high-tech medical equipment.
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