emergency room care
Communities need specially-designed psychiatric emergency departments. Private insurance companies should provide more and better community care for persons with psychiatric problems, and more community alternative programs for persons in emotional distress should be developed.
Policymakers should be aware that even well-informed patients with good access to primary care need the ER. Legislation should aim to increase availability of primary care, but not penalize for use of emergency services.
Romney is not the only influential Republican to claim such grandiose, charitable excellence in our health care system. Back in 2007, former President George W. Bush, threatening to veto an expansion of the federal Children's Health Insurance Program, said, "People have access to health care in America."
The second way to interpret Romney's remarks is not as a rejection of the question's premise, but a refusal to recognize consequences. If you're having a heart attack you can always go to the emergency room? He may have well as said, "Hey, no one is going to die if we don't do anything."
What's ailing our ERs? Simply put, they wrongly have become the venue of last resort for too many people for medical treatment. For many of us, there are better options, including urgent care or even retail clinics.
A plan that bases health care premiums on nutrition and lifestyle choices could ignite the food revolution we need to rid ourselves of the burdens of preventable chronic diseases.