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Look, if you have somebody who doesn't have health insurance, who doesn't have a doctor or dentist, and in order to deal with their cold or flu or dental problem, they go to an emergency room - in general, that visit will cost ten times more than walking into a community health center.
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As a medical doctor, it is my duty to evaluate the situation with as much data as I can gather and as much expertise as I have and as much experience as I have to determine whether or not the wish of the patient is medically justified.