With policymakers in federal and state governments slowly shifting emphasis from coverage to considerations of cost, the drivers of health care expenses in America have emerged as a focus of conversation. Upwards of 80 percent of our national health expenditures goes toward the direct delivery of health care.1 Of the portion that is spent on actual patient care, the three largest components have been hospital care (33 percent), physicians and clinics (20 percent), and prescription drugs (10 percent). Hiding inside the biggest slice of the pie, emergency department care often becomes a boogeyman, branded as the place for “expensive” and “unnecessary” care.
Nevertheless, the care emergency physicians deliver to the public 24-7-365 represents one of the few places within our fragmented system where rapid diagnostic decisions, quick treatment, and convenience coincide to bring tremendous value to patients. Other physicians realize this, which is why they keep referring their patients to us.2 Yet assumptions about the emergency department lead to it being singled out as an ideal place to cut corners and save a few dollars out of the $3.5 trillion annual U.S. health care spend.3
While ACEP has gone to great lengths to explain to policymakers that the direct costs of emergency care account for as little as 2 percent of our nation’s total health expenditures, other reliable estimates suggest that our attributable expense is as high as 10 percent.4