Hmm ... maybe the explanation is that people would rather go to a private hospital than a public one ... so long as someone else is paying.
"The county's three large public hospitals, which historically have cared for many uninsured patients, recorded a 9% drop in such cases. At the same time, several private hospitals reported double-digit percentage increases in outpatient visits, the analysis found.
What the uneven and changing usage patterns mean — and whether they signal the beginning of a long-term rearrangement of how patients will seek treatment — is not yet clear."
http://www.latimes.com/local/california/la-me-emergency-visits-20150102-story.html#page=1
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