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	<title>Comments on: richard[WINTERS]md: Concierge Emergency Department / also, the Seniors ED</title>
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	<link>http://gruntdoc.com/2009/01/richardwintersmd-concierge-emergency-department-also-the-seniors-ed.html</link>
	<description>Ramblings of an Emergency Physician in Texas</description>
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		<title>By: A concierge ER, or, can EMTALA-free, cash-only emergency departments save hospitals? &#124; Telecom News</title>
		<link>http://gruntdoc.com/2009/01/richardwintersmd-concierge-emergency-department-also-the-seniors-ed.html/comment-page-1#comment-16249</link>
		<dc:creator>A concierge ER, or, can EMTALA-free, cash-only emergency departments save hospitals? &#124; Telecom News</dc:creator>
		<pubDate>Sun, 01 Feb 2009 17:13:18 +0000</pubDate>
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		<description>[...] Winters (via GruntDoc) imagines such as scenario, which for a fee, patients receive private rooms, couches and chairs for [...]</description>
		<content:encoded><![CDATA[<p>[...] Winters (via GruntDoc) imagines such as scenario, which for a fee, patients receive private rooms, couches and chairs for [...]</p>
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		<title>By: GingerB</title>
		<link>http://gruntdoc.com/2009/01/richardwintersmd-concierge-emergency-department-also-the-seniors-ed.html/comment-page-1#comment-16247</link>
		<dc:creator>GingerB</dc:creator>
		<pubDate>Sat, 31 Jan 2009 22:19:35 +0000</pubDate>
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		<description>That &quot;second largest hospital in Maryland&quot; is split between insured and immigrant un-insured populations. They are not that far from Bethesda where there is &quot;nice&quot; hospital.

If I spent had spent hours in an ER full of immigrants/little kids/drama with my aged Mom I would probably be thinking about driving a few more miles next time to a locale where I could wait in peace and quiet.</description>
		<content:encoded><![CDATA[<p>That &#8220;second largest hospital in Maryland&#8221; is split between insured and immigrant un-insured populations. They are not that far from Bethesda where there is &#8220;nice&#8221; hospital.</p>
<p>If I spent had spent hours in an ER full of immigrants/little kids/drama with my aged Mom I would probably be thinking about driving a few more miles next time to a locale where I could wait in peace and quiet.</p>
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		<title>By: albatross</title>
		<link>http://gruntdoc.com/2009/01/richardwintersmd-concierge-emergency-department-also-the-seniors-ed.html/comment-page-1#comment-16228</link>
		<dc:creator>albatross</dc:creator>
		<pubDate>Thu, 29 Jan 2009 01:01:30 +0000</pubDate>
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		<description>I think this is a large part of the draw of the nightime-and-weekend clinics all around, right?  If it&#039;s Friday at 11PM, and my son is sick enough I want him to be seen by a doctor, I don&#039;t have to wait four hours at the ER, I can go to the nighttime pediatrics clinic and have him seen within the hour.  Of course, they&#039;re not going to see you if you can&#039;t pay, which is why you can be seen quickly and why they&#039;ve got a nice child-friendly waiting room and such.   

I&#039;m having a hard time seeing how much of an improvement a concierge ER as described in the linked post would be, relative to that.  If one of my sons is sick or badly injured enough to need to be at the ER, I&#039;m unlikely to enjoy many amenities other than having him seen and treated quickly.</description>
		<content:encoded><![CDATA[<p>I think this is a large part of the draw of the nightime-and-weekend clinics all around, right?  If it&#8217;s Friday at 11PM, and my son is sick enough I want him to be seen by a doctor, I don&#8217;t have to wait four hours at the ER, I can go to the nighttime pediatrics clinic and have him seen within the hour.  Of course, they&#8217;re not going to see you if you can&#8217;t pay, which is why you can be seen quickly and why they&#8217;ve got a nice child-friendly waiting room and such.   </p>
<p>I&#8217;m having a hard time seeing how much of an improvement a concierge ER as described in the linked post would be, relative to that.  If one of my sons is sick or badly injured enough to need to be at the ER, I&#8217;m unlikely to enjoy many amenities other than having him seen and treated quickly.</p>
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