Will Health Insurance Reform Prevent Overuse of Hospital Emergency Rooms?

Emergency rooms save millions of lives each year.visiting emergency rooms for non-emergency
However, there are occasions when they are usedtreatments. Whatever the reasons, ER costs rose by
unnecessarily. A large percentage of those cases17 percent. The number of visits has also risen by 7
involve uninsured patients seeking basic medical care,percent since that state's reforms were enacted in
since an ER is legally required to take them2006.
in--regardless of their ability to pay. Another group areFor one thing, millions of undocumented immigrants will
those who, due to lack of insurance, neglected theirnot receive help buying affordable health insurance.
health until their conditions became serious enough toThey will not be allowed to participate in the regulated
require emergency treatment. The latter could beexchange markets expected to have cheaper options,
prevented, too.even if they use only their own money and do not
Supporters of healthcare reform have cited epidemictake any government subsidies. Therefore, this
as a reason to pass their bill. Due to the lack of apopulation will still resort to the nation's emergency
steady relationship with a patient, ER doctors oftenrooms when they are in need.
order expensive tests a primary care doctor mightEven for those who become newly insured due to the
avoid through longer discussions and experience withlegislation, there will continue to be struggles. It may be
the patients. In addition, hospital facilities have far higherdifficult to find a physician that will take them, at least
fixed costs than most doctors' offices and clinics. Nowinitially. (Although the law includes funding to encourage
that the Obama administration's proposal is law, whatthe training of more primary care physicians, it takes
will reform do to alleviate the problem?time for them to go through the pipeline of medical
However, many believe that it will not be a panacea.school and residency.) In the meantime, they will also
Indeed, it wasn't in Massachusetts. There is speculationuse emergency rooms.
that the previously uninsured had developed a habit of