A crazy thought........ maybe ER should only accept patients via ambulance or Air Evac, etc? No walk ins? Maybe that could week out some BS. Make the hospital define what an emergency is. Minor Emergency/Urgent Care could then take care of the "minor emergencies". Not sure what it's like there, but people will call 911 for a broken ankle around here, as well as last week's bloody stool, constipation, severe head ache, dislocated finger............