Lets face it. The state that Erlanger is currently in can not be blamed on any one factor. There are multiple contributing factors. Most of you that have commented all have valid points and I agree with statements that many of you have made. I do feel that there needs to be a better ER triage system. The ER is constantly seeing people that are homeless and just want to be out of the cold, they are constantly seeing people with headaches, toothaches, sorethroats, and runny noses. There should be a triage system in place that immediately identifies these folks as not having "an emergency medical condition" and promptly refer them somewhere they can get the proper level of care (PCP's, walk in clinics, etc...). These people continue to abuse the ER because we let them. A system needs to be put in place to weed these people out. The ones that do not meet criteria for emergency level of care should be required to pay a fee up front (just like you would at a Dr office). What is happening is that we are allowing people to use the ER as a primary care doctor and we are never seeing any fees for the service we provide. If required to pay up front for non emergency care (again just like you would at a Dr office) people would not abuse the ER in the way they do.