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Usually, it's more an opportunity cost ie what could have been charged if the same things had been done in the neuro ward.

In the ER in France, it's more or less a flat rate that gets charged - which incentivizes cost reduction. There is an exception if the patient is admitted, but with the billing rules of the time, it reverted to a flat rate if the patient was transferred to another hospital.

Considering this was not the patient first contact with an hospital and that the last times they had found nothing (it didn't seem to me they looked very hard), I just couldn't pass the bucket and hope this time they did things right - the last few times they didn't, so why now?

Working in hospitals taught me at least one thing - never trust other people work. You want something done well, you do it yourself.

Sorry if that doesn't make me a team player, but I've seen so many bad things happen :-(

[Another thing I learnt today - when one remember work stories 9 years later, it usually does not speak well about the work environment]



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