Diagnosing and treating patients was once an ER doctor’s domain, but they are increasingly being replaced by health practitioners who can perform many of the same duties and generate much the same revenue for less than half the pay.
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Pregnant and scared, Natasha Valle went to a Tennova Healthcare hospital in Clarksville, Tenn., in January 2021 because she was bleeding. She didn’t know much about miscarriage, but this seemed like one.

In the emergency room, she was examined then sent home, she said. She went back when her cramping became excruciating. Then home again. Valle said it ultimately took three trips to the ER on three consecutive days, generating three separate bills, before she saw a doctor who looked at her bloodwork and confirmed her fears.

“At the time I wasn’t thinking, ‘Oh, I need to see a doctor,’ ” Valle said. “But when you think about it, it’s like, ‘Well — dang — why didn’t I see a doctor?’ ” It’s unclear if the repeat ER visits were due to […]

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