My wife's GP Dr just told her she is becoming a concierge practice

[Hornedfrog2000]

24. Oh trust me

We, in healthcare, know how people live. We see the same people constantly. Lower functioning people, less educated, people who just want you to do it for them, etc. They get heartburn and they are calling for an ambulance a couple times a month. It is unsustainable. Im all for helping people, but the system is completely broken. I do think medicaid patients should have at least some sort of charge for using ambulances, and the ER as their doctors office.

When we see a frequent flyer roll into the ER on a stretcher, big smile on their face, and chatting everyone up, it makes me pretty upset. We pay for that, and the insurance companies laugh to the bank. The providers have to cover their ass, so they order $25k in diagnostics so they dont get sued. I have literally had patients who bragged about their bills being $300k, or even a million dollars, which they didnt pay a cent of. They thought i was cool.

Then you hear about the quiet lady in the ER who has mild abdominal pain, and she is 20th in triage because her pain is mild, and she doesnt complain. Guess what? She died of an aortic aneurysm that day when they finally got to her.