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	<title>Comments on: ER doctor sounds siren for change</title>
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	<link>http://gruntdoc.com/2006/02/er-doctor-sounds-siren-for-change.html</link>
	<description>Ramblings of an Emergency Physician in Texas</description>
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		<title>By: Jim in Texas</title>
		<link>http://gruntdoc.com/2006/02/er-doctor-sounds-siren-for-change.html/comment-page-1#comment-3457</link>
		<dc:creator>Jim in Texas</dc:creator>
		<pubDate>Tue, 21 Feb 2006 12:06:31 +0000</pubDate>
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		<description>It has been my assumption, possibly false as some many have become the older I get, that trauma centers have been closing all over the U.S. simple because they can&#039;t generate enough income to keep going. If so, that&#039;s one of the darker sides of Adam Smith&#039;s hand. 

When I was stationed in Southern California (or as my wife put it &quot;held hostage by the USAF in the High Desert&quot;) I saw several trauma centers close for what appeared to be nothing more than money problems. 

It seemed that the bulk of people who needed those type of &quot;golden hour&quot; services were of a group of (for the lack of a better word)&quot;risk takers&quot; who usually possessed neither the insurance nor the resources to pay for those services.

I don&#039;t know how accurate that assumption is but if it is then what would be the chances of starting a successful program here?</description>
		<content:encoded><![CDATA[<p>It has been my assumption, possibly false as some many have become the older I get, that trauma centers have been closing all over the U.S. simple because they can&#8217;t generate enough income to keep going. If so, that&#8217;s one of the darker sides of Adam Smith&#8217;s hand. </p>
<p>When I was stationed in Southern California (or as my wife put it &#8220;held hostage by the USAF in the High Desert&#8221;) I saw several trauma centers close for what appeared to be nothing more than money problems. </p>
<p>It seemed that the bulk of people who needed those type of &#8220;golden hour&#8221; services were of a group of (for the lack of a better word)&#8221;risk takers&#8221; who usually possessed neither the insurance nor the resources to pay for those services.</p>
<p>I don&#8217;t know how accurate that assumption is but if it is then what would be the chances of starting a successful program here?</p>
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		<title>By: Anonymous</title>
		<link>http://gruntdoc.com/2006/02/er-doctor-sounds-siren-for-change.html/comment-page-1#comment-3456</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 21 Feb 2006 10:40:32 +0000</pubDate>
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		<description>I don&#039;t know any ER doc who works 76 hours a week. ;)</description>
		<content:encoded><![CDATA[<p>I don&#8217;t know any ER doc who works 76 hours a week. ;)</p>
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		<title>By: symtym</title>
		<link>http://gruntdoc.com/2006/02/er-doctor-sounds-siren-for-change.html/comment-page-1#comment-3458</link>
		<dc:creator>symtym</dc:creator>
		<pubDate>Mon, 20 Feb 2006 18:14:58 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2006/02/er-doctor-sounds-siren-for-change.html#comment-3458</guid>
		<description>&lt;strong&gt;Wonder Woman&lt;/strong&gt;

via GruntDoc
ER doctor sounds siren for change &#124; Houston Business Journal &#124; 2.20.06

Even with a 76&#045;hour&#045;a&#045;week work schedule and eight kids, Dr. Diana Fite finds time to tend to the trauma system.&#8230;

See GruntDoc&apos;s post and read...
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		<content:encoded><![CDATA[<p><strong>Wonder Woman</strong></p>
<p>via GruntDoc<br />
ER doctor sounds siren for change | Houston Business Journal | 2.20.06</p>
<p>Even with a 76&#45;hour&#45;a&#45;week work schedule and eight kids, Dr. Diana Fite finds time to tend to the trauma system.&hellip;</p>
<p>See GruntDoc&apos;s post and read&#8230;</p>
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