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Nor is it clear how much money could be saved by really cracking down. "The caricature is of a patient blindly visiting the ER [for no reason], but that's relatively uncommon," said Ari Friedman, a physician who collaborated on Hsia's research. Policies aimed at cutting down on inappropriate visits are all based on judgments made after final diagnoses, which obviously aren't available to patients before they decide to go to the ER..

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