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Written Testimony of Mark Reiter, MD MBA FAAEM,
president, American Academy of Emergency Medicine submitted for the
record to U.S. House Energy and Commerce Subcommittee on Oversight and
Investigations, October 16, 2014.
Chairman Murphy, Ranking Member DeGette and members of the Committee,
thank you for the opportunity to provide comments on your hearing
focusing on the Ebola outbreak and efforts by the U.S. Government and
our health care system to identify, treat, and protect the public health
from this infectious disease.
The American Academy of Emergency Medicine (AAEM) is the specialty
society of board certified emergency physicians, representing 8,000
members across the country. Whether it is an athlete suffering from a
broken bone, an infant struggling to breathe, a victim struggling to
survive a gunshot wound, or a patient dealing with debilitating symptoms
from an infectious disease, our emergency physicians serve on the front
lines everyday combating life threating conditions. Our emergency
physicians, nurses, and medical support teams provide this type of care
in often overcrowded, underfunded, and overburdened systems. A typical
emergency department (ED) could see 100 patients a day while a more
populated one could see 300. According to the CDC, in 2010 the number of visits to an ED was 129.8 million.
This number continues to increase. Despite the well-intended efforts of
the Affordable Care Act to direct non-critical and non-emergency
patients to primary care providers, Americans frequently still choose
EDs as their first option for care. EDs are, in particular, a first
point of care for many immigrants and travelers who seek treatment in
the United States.
Like many Americans, we are saddened by the toll Ebola has taken on
the lives of many in West Africa and other countries and now the United
States. We share in the concern for our fellow caregivers who appear to
have contracted the disease from their efforts to save a now deceased
patient. We are proud of our physician colleagues who are battling
against Ebola in West Africa under challenging conditions in an effort
to save lives and prevent further infections. Unfortunately, this
disease poses significant challenges not only to the global health
system but to our health system as evidenced recently in Texas, Georgia,
and Nebraska.