The Emergency Medical Treatment and Active Labor Act (EMTALA) requires every emergency department to treat anyone who enters with an ‘emergency’. Any patient coming to a hospital emergency department requesting ‘emergency’ care must be screened and treated until ready for discharge, or stabilized for transfer – whether or not insured, ‘documented,’ or able to pay.
...ires hospitals and ambulance services to provide anyone needing emergency medical care regardless of legal status or ability to pay. EMTALA virtually applies to all hospitals in the U.S. that accepts payment from the Centers for Medicaid and Medicare Services. This law essentially gives anyone a free pass for free medical care. Consequently, more people go to emergency rooms for preventive care and skip the hassle of paying a primary care doctor.
Smith, J. “Screen, Stabilize, and Ship: EMTALA, U.S. Hospitals, and Undocumented Immigrants.” Houston Journal of Health and Law Policy 10, 2010: 309-358. Web. 20 March 2015.
In a rapidly changing healthcare environment wrought with financial pressures, government mandated performance incentives along with rising healthcare cost, hospitals have been challenged to meet the bottom line. Many hospitals have closed their doors while others have elected to cut staffing resources, programs and re-think their strategies (Barkell, Killinger, & Schultz, 2002). Under the Affordable Care Act, Medicaid recipients are now limited to six emergency room (ER) visits per year and nine primary care visits per year before they are forced to pay out of pocket or unable to pay. Many healthcare leaders now worry that emergency room reimbursement will be restricted and due to the growing number of uninsured, combined with a shortage of primary care doctors many patients will not be able to get into their doctors offices creating an overwhelming burden on already congested emergency rooms. Many patients return to the emergency room or seek primary care treatment in an ER due to factors related to medication noncompliance, whether it is lack of funds, transportation to their physician’s office or poor health literacy.
Civilian Emergency Medical Services (EMS) is the most widely used system for emergency services provided in the United States. The United States development of Civilian EMS has evolved and changed since the 19th century.
The success of any medical system is based on its planning, training, and testing so it is vitally important to educate the public about the type of medical care that is available and how to access it. Understanding the resources available to them from the local EMS providers, when to use them, and when not to use them are paramount in increasing the likelihood of out-of-hospital survival. This could be done by integrating multiple announcements before and during a public event or even by training ushers, volunteers, concessions workers, and security personnel who work in locations with numerous crowds of people in first aid. Whatever the steps taken to increase public awareness and preparedness may be, any manner of ways apropos to handling out-of-hospital emergencies would greatly benefit the country.
...The emergency room should be a safe place where someone can go to seek immediate care without having to worry about getting gypped. It is a right as a person to find a place of refuge for health reasons; it is a reason where doctors are sent over to countries with disasters to help the people, because they have a right to be taken care of when they cannot do it themselves. You do not see Red Cross charging thousands of dollars to repair wounded limbs in the aftermath of Hurricane Katrina, and there is good reason for not doing so.
The emergency department (ED) is an essential component of the health care system, and its potential impact continues to grow as more individuals seek care and are admitted to the hospital through the ED. Invasive procedures such as central lines are placed with increased frequency
Emergency room physicians are on the front lines in a crisis, caring for everyone from trauma victims to sick kids. An ability to think quickly and care for a wide variety of patients makes them valuable assets at every hospital. It also brings some perks. When sudden illness or acute injury strikes, patients turn to hospital emergency rooms for immediate medical assistance. An ER doctor, or emergency medicine specialist, is a physician who diagnoses and treats illnesses and injuries in a hospital emergency room or other urgent care setting. Emergency medicine is a financially rewarding career, and it also comes with the reward of saving lives. ER doctors require intensive training to know how to shoulder their intensive responsibilities.
Emergency Medical Technicians are healthcare providers of the emergency medical services system and are trained clinicians who respond to emergency situations regarding medical issues and traumatic injuries. In 1969, President Lyndon Johnson’s Committee on Highway Traffic Safety recommended the creation of a national certification agency to establish a set of standards for training and examination of personnel active in the delivery of emergency ambulance service, which eventually led to the creation of EMTs.