Doctor discusses new E.R. poll

[0:00] ..." talking with doctor Peter small it's of the Harvard medical school and Beth Israel Deaconess Medical Center about research that he's done on the -- universal health care system and its effect on the State's emergency -- care system and -- them this morning if you could give us a"...

[0:30] ..." the experience of Massachusetts residents. Lost positions emergency physicians with respect to emergency department care. After the health care for a wanted to. And essentially the mean points that we intend to get across with the polls. And that one or perhaps. Massachusetts residents have either been to the emergency department with themselves. Or for themselves or what their family over the past year. -- we also intend to get across. That. Most"...

[1:52] ..." myself. That we can -- that overall volumes continue to climb in emergency department. And I think that the key to this is that there are many reasons for this including the patients are getting older. In many ways sicker. And we have to -- who reminded the fact that access to universal insurance. Does not equate to -- is not equivalent to access. To health care. So we shouldn't expect that all of a sudden despite giving people health insurance. That we're going to eliminate or reduce battery that need to act as the emergency department. "...

[2:43] ..." Saying that our costs are too high and that people are using emergency department unnecessarily. And when I like to say is that we shouldn't be -- scapegoat. But it's very easy to look at -- department as a symptom of the broader problems with the health care system. Now unfortunately none of these problems are going to be easy to -- In the take decades of comprehensive work to build -- better and more integrated health care system. But until we do those things. We're going to be left with many cracks are and our health care system. And we need to is still have access to emergency care despite all of that to make sure that we continued safety"...

[3:26] ..." You know given effect at the base states health care system is used as the model for what they're attempting to do nationally. -- how do you view that do you think that"...

[3:54] ..." that's that we shouldn't expect all of a -- by giving everybody health insurance at a national level. That we're going to eliminate the need for emergency department emergency care. People are going to need access steamer to department. For things like chest pains for car accidents. And especially at this point for of that pending. Each one and one pandemic that hit. So that weekend need to make sure that we safeguard -- emergency care system and not expect just like it happened in Massachusetts. That by giving people health insurance were all of a sudden going eliminate the need for an effort to department."...

[0:00]" We're talking with doctor Peter small it's of the Harvard medical school and Beth Israel Deaconess Medical Center about research that he's done on the -- universal health care system and its effect on the State's emergency -- care system and -- them this morning if you could give us a little preview. What you plan and I'm talking about."

[0:19]" Sure going to be presenting some information from polls that the American College of Emergency Physicians. Commissioned in September of 2009. Basically outlining the experience of Massachusetts residents. Lost positions emergency physicians with respect to emergency department care. After the health care for a wanted to. And essentially the mean points that we intend to get across with the polls. And that one or perhaps. Massachusetts residents have either been to the emergency department with themselves. Or for themselves or what their family over the past year. -- we also intend to get across. That. Most people don't believe. That the health care reforms have had an impact. On wait times and crowding that we're experiencing. -- Also from the physician's perspective. One of the most interesting things is that most lucrative positions. It affects 64%. Have demonstrated that they think there increases. In patient volumes in 2006. Which is contrary to you what -- most politicians and policymakers and expected to happen after health care."

[1:47]" Perceptions of physicians but it can't pick up from some of the primary research but I've done myself. That we can -- that overall volumes continue to climb in emergency department. And I think that the key to this is that there are many reasons for this including the patients are getting older. In many ways sicker. And we have to -- who reminded the fact that access to universal insurance. Does not equate to -- is not equivalent to access. To health care. So we shouldn't expect that all of a sudden despite giving people health insurance. That we're going to eliminate or reduce battery that need to act as the emergency department. "

[2:35]" I think the one thing that I like to remind people is that oftentimes policy makers and politicians you. He merger as a scapegoat. Saying that our costs are too high and that people are using emergency department unnecessarily. And when I like to say is that we shouldn't be -- scapegoat. But it's very easy to look at -- department as a symptom of the broader problems with the health care system. Now unfortunately none of these problems are going to be easy to -- In the take decades of comprehensive work to build -- better and more integrated health care system. But until we do those things. We're going to be left with many cracks are and our health care system. And we need to is still have access to emergency care despite all of that to make sure that we continued safety -- for people can't access care elsewhere."

[3:26]" You know given effect at the base states health care system is used as the model for what they're attempting to do nationally. -- how do you view that do you think that there's a fit there."

[3:40]" I think with respect to emergency medicine. Which is mostly what we're talking about today. That which should not again you. The map just experience that panacea. For health care for. And that's that we shouldn't expect all of a -- by giving everybody health insurance at a national level. That we're going to eliminate the need for emergency department emergency care. People are going to need access steamer to department. For things like chest pains for car accidents. And especially at this point for of that pending. Each one and one pandemic that hit. So that weekend need to make sure that we safeguard -- emergency care system and not expect just like it happened in Massachusetts. That by giving people health insurance were all of a sudden going eliminate the need for an effort to department."