An opulent over-built facility with expensive attributes unrelated to patient care, and a woefully understaffed service because of the 'bottom line' mentality of the bean-counters.  A 9 hour wait for critical care is criminal.  Decent and timely medical treatment at the Motel 6 trumps treatment of this sort at the Taj Mahal.  We are the richest, smartest, most inventive people in the world, and we can't even operate an efficient health-delivery system.  To top it off, medical mistakes are now the third cause of preventable death in the US, and surely that is in part the result of the problems addressed in this piece.  We can do better; we MUST do better.  We otherwise are without worth.