We're seeing a larger influx of homeless coming in who aren't accepted at the shelters saying that they "have ankle pain", etc. While they aren't completely overwhelming our emergency room, the worry is that one of these times someone will be in need of care but no one will see it because "you know, it's just Steve back again."
So we do the million-dollar-workup each and every time they come in. It's draining and time consuming.