It was a whole slew of issues; no insurance, lack of citizenship/not even permanent greencard holders. Parents got scared when the kid like started shivering/stopped eating, they go to the ED thinking its a quick fix, instead **** hit the fan. Happy the transfer worked, but it shouldn't be the case where attendings have to fly to hospitals to fight with admin for transfers. That isn't medicine. That's business. Unfortunately, the two are so intertwined now, it really hinders doctors from doing their jobs.