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As 2016 comes to a close, I have seen a rush in the ER market to open as many freestanding facilities as possible. No longer are major metropolitan areas affected: Lufkin, San Angelo, Texarkana, Wichita Falls, Lubbock, Temple, Longview, Nacogdoches, College Station, Victoria, Laredo, Midland, Odessa, and El Paso. Just yesterday I spoke to 4 ER medical directors who "Lost a couple more to freestandings". Without question, the traditional hospital is there to offer “door-to-needle” care and ready to immediately respond to stroke and cardiac catheterization. I personally count 273 freestanding ER's in Texas with 430 traditional hospitals in Texas. This is approaching a 1:2 ratio.
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