Because these patients do not utilize insurance or primary care, emergency medical providers often face problems of overutilization and financial loss, especially since many patients are unable to pay for their care ( see below ).
32.
Adams also shared Tyler Pipe's skepticism about injury claims; he says he believes that up to 50 percent are fraudulent, and that " overutilization " of doctors is a " huge problem ."
33.
He said Gramm told him that focusing on deductibles would " have a constructive impact " by reducing overutilization of the health care system, because if people had to pay more they would not go to the doctor so often.
34.
While overuse is not limited to the uninsured, the uninsured comprise a growing proportion of non-urgent ED visits insurance coverage can help mitigate overutilization by improving access to alternative forms of care and lowering the need for emergency visits.
35.
"The real issue is overutilization, the ordering of too many films because there is a financial incentive to do so, " said Dr . Leonard Berlin, chairman of the radiology department at Rush North Shore Medical Center, outside Chicago.
36.
"' Environment-current issues : "'inadequate sanitation facilities; increasing levels of soil salinity; industrial pollution; excessive pesticides; part of the basin of the shrinking Aral Sea suffers from severe overutilization of available water for irrigation and associated pollution.
37.
However, standard of living does not necessarily correlate with quality of life, which may increase as the population declines due to presumably reduced pollution and consumption of natural resources, and the decline of social pressures and overutilization of resources that can be linked to overpopulation.
38.
In an April 2012 hearing, Dr . Christine Ellis, an orthodontist in the North Texas region who served as one of the auditors, audited All Smiles claims from 2007 to 2011 and concluded that it had engaged in " overutilization " of benefits before and after the 2010 change in ownership.
39.
The rationale is that there is no evidence which shows that extra testing results in better outcomes for a patient, but a patient who does receive tests against the consensus of professionals in the field is more likely to receive invasive procedures, overutilization of medical services, unnecessary radiation exposure, and experience misdiagnosis.
40.
Gawande argued that dramatic improvements and savings in the delivery system will take " at least a decade . " He recommended changes that address the overutilization of healthcare; the refocusing of incentives on value rather than profits; and comparative analysis of the cost of treatment across various healthcare providers to identify best practices.
