It is a shame but people with limited access due to poorly administered insurance (ie medicaid) have nowhere else to turn now but the ER. I believe that government should play a role in providing improved access to necessary healthcare services through lower cost avenues. People in DC need to wake up as this troubled system is now costing taxpayers even more than ever. ANSWER: Pay pediatricians a fair amount (ie and NOT at current the reimbursement of 50% of adult docs who manage medicare patients) to manage and care for little patients in their offices instead of paying these nonsensical inflated costs to hospitals. What am I missing here? Who has rigged this system in favor of hospital networks? You tell me!