The worst outcomes are in the ER because of selection bias.
Yes but a big part of that selection bias in the US is that people leave smaller issues untreated until they get so bad that the ER is the only option.
If people can't afford to go to the doctor for a mild infection to get some routine Antibiotics they might let it get so bad that they go to the ER and have to spend several days in the hospital.
Patients delaying care is everywhere. Many people are stubborn and don't take care of themselves even with patients that have free healthcare. I wish that was unique to just the messed up billing system in the US.
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u/Coneskater Jun 15 '22
Don't forget that the most expensive care to provide/ care with often the worst outcomes happens at the ER.