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- W4366438401 abstract "As Dr. Gaddis notes in his very thoughtful letter, our analysis examined whether substantial “off-loading” of overburdened hospitals during pandemic surges might be possible using existing medical transport infrastructure of the American health care system. We found that in most geographical areas during most days of the pandemic, transport resources were sufficient. Dr. Gaddis adds that insurer networks are an important reason why more “off-loading” did not occur. We wholly agree and appreciate additional scrutiny of barriers to meaningful interfacility patient transfers. Indeed, the very idea of mass transfers lies in fundamental conflict with the sometimes false perception that patients have meaningful and realizable choices between hospitals in the American health care model. Closed networks and profit motives are both political roadblocks that explain why transfers were not widely implemented during the pandemic surges of 2020 and 2021. This is but one consequence of our current fragmented health care system, and we invite further consideration of whether a differently structured health care system might be more effective in a future health emergency. We enthusiastically concur with Dr. Gaddis’ call for reform that goes far beyond the elimination of surprise billing and allows for more equitable use of our vast national resources." @default.
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- W4366438401 date "2023-05-01" @default.
- W4366438401 modified "2023-09-23" @default.
- W4366438401 title "In Reply" @default.
- W4366438401 doi "https://doi.org/10.1016/j.annemergmed.2023.01.009" @default.
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