Well, emergency rooms in the States here get dumped with all the crap jobs, and are running out of money, so this is one possible strategy. Insta-cares are also expensive, but tend to take the "crap" cases 24/7 or at least 18/7 which is still better than the GP offices most of the time. Unlimited need-limited resources, folks still want care when they feel ill. Care givers still want their own lives once in a while. No simple solutions.