policemedic
Verified SWAT
I seriously wonder if the deceased had medical insurance and if that was a consideration to send him home vice admission when he visited hospital the first time.
@racing_kitty pretty much nailed the EMTALA piece. I'll add that a proper MSE can be done and the determination made that while you are sick, you do not have a medical emergency and do not need to be admitted. Without knowing the extent of the work-up the doc did in this case I'll reserve judgment. However, I can tell you--and perhaps some of our licensed physicians will expand on this--that a pt presenting with a fever and 8/10 abdominal pain comes with an interesting array differential diagnoses and should receive a fairly thorough work-up with a few investigations thrown in.
I'm somewhat surprised that a travel hx wasn't obtained during the H&P, but then again, we don't know the content of the Dr./pt conversation, the status of the ED at that time, etc.
Suffice to say that inability to pay was unlikely to be the cause for his discharge.