All, this, but also: having the ER be people’s only point of access is horribly financially irresponsible. It means that people have to go to the ER for every problem if it’s the only place that won’t turn them away, so they go there for an ear infection or a sprained ankle and rack up a bill that’s ten times higher than if they’d been able to go to an urgent care clinic or a regular doctor’s office.
That’s a huge waste of money and resources. And when people can’t pay that giant bill, it drives up everyone’s healthcare costs. Even if you don’t care about human beings at all, you should still care about this completely irrational situation where we’re losing large amounts of money because we refuse to offer people more affordable access to care.
Also, there are things the ER simply can’t do (or does very poorly and expensively), including:
- Preventative care like vaccinations, cancer screening, or prenatal care.
- Rehabilitative care like PT after an injury.
- Long-term care for people who aren’t able to take care of their own daily needs.
- Care for any chronic condition that isn’t a crisis at this moment.
So yeah, not only is “you can just to go the ER” not a real solution for healthcare, but it’s more expensive than universal access to regular doctors would be. The US government spends more on healthcare than countries that have universal healthcare! We’re not saving money with our system, we’re actually wasting money to inflict deprivation on people.