As of 2017, the outpatient clinic was disbanded and these lower acuity patients are now either evaluated in the emergency centre or triaged to outpatient specialty clinics. The annual patient census of these combined areas in 2014 was 163,426, with 69,294 patients treated in the EC \[[@bb0040]\]. Medical care is provided by a combination of full-time and part-time medical officers and nurses along with nursing and emergency medical technician (EMT) students. A medical officer is a physician who has completed medical school and a one-year medical internship. These physicians do not have specialised emergency medicine training; rather, they have varying levels of experience and postgraduate training. Advanced Cardiac Life Support (ACLS), Advanced Trauma Life Support (ATLS), and a variable degree of disaster training has been completed by selectedthe front lines of providing services to the American public.

Sanders' bill comes with a pretty big drawback

Essentially, the Social Security Administration Fairness Act is about removing barriers to benefits for those with long-term disabilities, as well as bolstering the SSA's annual budget to help those in need of assistance.

However, altering Social Security does have consequences.

The Social Security Office of the Chief Actuary examined Sanders' proposal and determined that parts of it would increase the long-term (75-year) actuarial deficit of the Old-Age, Survivors, and Disability Insurance (OASDI) Trust. Think of the actuarial deficit as the amount payroll taxes would need to increase today in order to completely offset the expected cash shortfall the program is projected to face over the next 75 years.

Interestingly, increasing the amount of funding to