This is incredibly sad, and very illustrative of the current problem with the american health system. While we have a great many problems, and need to completely overhaul a system that was put together piecemeal, the people that need medical care the most are falling through the cracks. As unemployment rises, and people continue to lose their jobs, this will become increasingly prevalent. Unfortunately, many of these people will not seek care at all, and others will utilize the ED for provision of care for their chronic problems. I'd like to make a joke, or say something witty, but this is simply too sad.