We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Patients Leaving Emergency Departments Without Being Seen by a Physician-Reply

David W. Baker, MD, MPH; Carl D. Stevens, MD, MPH; Robert H. Brook, MD, ScD
JAMA. 1992;267(2):232-233. doi:10.1001/jama.1992.03480020041018.
Text Size: A A A
Published online

In Reply.  —Dr Hass argues that many physicians have stopped providing charity care because of decreasing reimbursements from public and private insurers. If this has occurred, then reduced payments for insured patients cannot be the whole explanation. Family practitioners, internists, and pediatricians all had an increase in their net incomes from 1982 through 1987, and in 1990, office-based physicians in private practice reported a 6.9% increase. 1 Most of this increase was due to higher fees rather than an increased volume of services. It is doubtful that further increases will augment physicians' willingness to provide charity care. Providing health insurance would appear to be a more reliable way of guaranteeing access to care.It seems unlikely that national health insurance would worsen overcrowding as Dr Kunst suggests. While the hospitals and clinics that care for the uninsured are overcrowded, other providers are underutilized. Expanding health insurance coverage would allow those


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.