
By Anna Gorman
For the Los Angeles Times
Just before 10:45 a.m., Keith Marks called 911 and the Los Angeles County emergency response system sprang into action. A fire engine, a paramedic squad and a private ambulance — eight men in total — rushed to the Martin Luther King Jr. urgent-care center in Willowbrook.
When they arrived, Marks, 56, was sitting calmly in a wheelchair just outside the entrance. His complaint: he was having joint pain from gout and wanted his medication refilled.
“I can’t walk,” he said. “I need to go to the closest emergency room.”
The paramedics checked his vital signs. Marks told them he called 911 after the county clinic wouldn’t see him for free because he had other insurance. Then the paramedics did what Marks wanted — sent him by ambulance to St. Francis Medical Center.
During an eight-hour period at L.A. County Fire Station 41 last week, paramedics responded to a handful of calls but only one actual emergency — a man who reportedly had a seizure while driving on the 105 Freeway. Several other calls, they said, could have been handled differently if there were other options. The call from Marks was one.
“Really, what are we going to do for gout?” Capt. Ernie Clayton asked.
The incident illustrates a chronic problem — unnecessary 911 calls that result in costly trips to already crowded ERs, which divert resources from true emergencies. Increasingly, uninsured patients rely on 911 as their only way into the healthcare system.
Now, four decades after public safety agencies began launching fast-response paramedics, counties around the nation are overhauling the 911 system to save money, improve care and reduce ER overcrowding, an especially acute problem in the Los Angeles area. Federal health reform is driving the changes, as hospitals try to reduce readmissions and the healthcare system prepares for more patients
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Photo credit: Allen J. Schaben for the Los Angeles Times