I've had to go to the ED for back pain ($250 copay). I live in a rural area where there are no minute clinics and the Urgent Care closes at 7pm. I was working nights at the time so I didn't wake up and try to get moving till 5pm -- by the time I could get out the door (in a cab, no way I could drive) it was 6:30. I did apologize to the NP who treated me. I think my exact words were "I'm sorry to have to come into your ED and ask for drugs, but I need drugs."