Caught But Not Saved: The Limits Of The ER’s Safety Net

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Caught But Not Saved: The Limits Of The ER’s Safety Net
EMTALASafety NetHealthcare
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Renee Hsia, M.D., M.Sc. explores the systemic dysfunction of the healthcare system, including medical billing, inequities in access, and quality of care. Dr. Hsia is a professor of emergency medicine and health policy at the University of California San Francisco (UCSF) and works as an emergency physician at San Francisco General Hospital.

The Merriam-Webster dictionary defines a “ safety net ” as “something that provides security against misfortune or difficulty.” The emergency room is well-known as the “ safety net ” of the U.S. healthcare system. But most Americans don’t understand the limits of the ER and how it alone cannot be expected to provide the stopgap for a broken healthcare system.about the Emergency Treatment and Labor Act .

I first witnessed this reality during my medical training as a resident doctor at a California hospital. A Spanish-speaking laborer had amputated his finger with a table saw. It was a “clean cut” and he had properly placed the amputated digit into a plastic baggie and immediately came to the ER with a bandaged stump.

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