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

[RobinA]

109. There Needs To Be

a structural change that no one seems to have the imagination to make work. People who are in extreme pain for something nonlife threatening, people with other non-life threatening conditions that still need immediate attention need someplace to go that isn't the ER. They can't see their Doctor because they are only available business hours, the office closes for three hours at lunch time. Fridays forget it. Urgent care is useless (again, only open business hours and can't do much).

If we want these people out of the ER they need access to care elsewhere, and right now there is none. My local ER is about an 8 hour wait if you aren't spurting blood in all directions, 5 hours if you are. NO ONE (ok, almost no one) goes to the ER unless they think they have to. And even then many people don't. There's a HUGE service gap. Fill the gap!!!!! There's no will at all.