- Joined
- Sep 21, 2015
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I'm currently working my first gig out of residency in a city/state that has FSEDs popping up like McDonalds on every corner. I don't particularly feel like I have the best grasp on where the idea originated from, and more importantly, where it is headed. Since I don't really have other sources to refer to, I figured I would pose the questions here to find out some more info. So here goes:
1. What's the point? I get it, money. Aside from that, what's the point of putting up half assed EDs everywhere, that in reality serve as slightly enhanced urgent care centers with advanced imaging? When these things are literally popping up EVERYWHERE, at what point do we hit saturation and lose money on it? Seems like everyone wants to throw one up in someone else's territory to say FU. At what point do we put so many of these things up that we hit mutually assured destruction and they all fail?
2. Where can I go to find out my state's legislation on how these things came about? Have there been any landmark laws passed so far that have limited the reach of these structures? Can we expect certain trends around the country, good or bad?
3. Who's getting rich off these? It's a new thing, seems to be going on everywhere, seems like somebody is making the dough. Any real numbers? How are these regulated by EMTALA? How are they NOT regulated by EMTALA?
4. Is there any indication that the FSEDs are all gonna disappear in 5-10 years, and as a result, all groups will experience significant downsizing? Vice versa, can we expect that groups who are investing into this model will have a significant advantage in 10 years from now? What are people basing these predictions off of? Please, tell me what the Magic 8 Ball says.
From a business standpoint, seems like you can only cut the pie so many times, before there are only crumbs left. The current expansion of FSEDs certainly is creating a lot of job opportunities in previously difficult markets. I worry about the volatility of what's going on these days.
Thoughts and discussion appreciated.
1. What's the point? I get it, money. Aside from that, what's the point of putting up half assed EDs everywhere, that in reality serve as slightly enhanced urgent care centers with advanced imaging? When these things are literally popping up EVERYWHERE, at what point do we hit saturation and lose money on it? Seems like everyone wants to throw one up in someone else's territory to say FU. At what point do we put so many of these things up that we hit mutually assured destruction and they all fail?
2. Where can I go to find out my state's legislation on how these things came about? Have there been any landmark laws passed so far that have limited the reach of these structures? Can we expect certain trends around the country, good or bad?
3. Who's getting rich off these? It's a new thing, seems to be going on everywhere, seems like somebody is making the dough. Any real numbers? How are these regulated by EMTALA? How are they NOT regulated by EMTALA?
4. Is there any indication that the FSEDs are all gonna disappear in 5-10 years, and as a result, all groups will experience significant downsizing? Vice versa, can we expect that groups who are investing into this model will have a significant advantage in 10 years from now? What are people basing these predictions off of? Please, tell me what the Magic 8 Ball says.
From a business standpoint, seems like you can only cut the pie so many times, before there are only crumbs left. The current expansion of FSEDs certainly is creating a lot of job opportunities in previously difficult markets. I worry about the volatility of what's going on these days.
Thoughts and discussion appreciated.