Saturday, August 18, 2007
Scratch one more surgical sub-specialty at my semi-rural facility. The burden of the uninsured, the lack of a surplus of these particular surgeons in general, and on-call responsibilities have combined to drive another necessary capability out of our town. Under EMTALA we can not transfer these patients either because, while, due to our bylaws, these particular sub-specialists are not obligated to call anymore, we do technically have the service available. Therefore, accepting facilities elsewhere will be able to refuse these transfers as they can say that it is a service that we have. Well, on paper we have it, in reality we don't. The Titanic is listing and the boats are away.
Posted by 911DOC at Saturday, August 18, 2007