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I’m sure there’s a number of reasons for this - after about 5 PM, your options are typically the ER or an urgent care. UC’s usually require payment up front, and for people who either don’t have insurance or who have high deductibles, the cost of care at a hospital (which is way more but can be put off) vs the up front cost of urgent care probably pushes people towards ERs.

There’s likely other factors - lack of medical education/first aid, consulting Dr Google and then having anxiety that maybe that slight pain is something horrible, etc.

A public health system could alleviate this stress, if done well. Clinics that are open later than “business hours”, readily accessible telehealth providers, and better public health education could all come about from a public system. Privatized, all of these can only exist with a profit motive, and the insurance and health system are costly.




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