With this, he almost certainly suffered a burst or flexion/distraction type fracture of his thoracic or lumbar spine, probably with an associated spinal cord contusion.

Neurosurg here.

Most likely because most patients/patient families are extremely obnoxious and believe a visit to the hospital should proceed like a visit to a hotel.

It isn’t different at all, except that indigent US citizens can apply for things like emergency Medicaid and there is no foreign country to deport them to. To be frank, there is nothing truly humane or ethical about how the most vulnerable segments of our population are treated by the healthcare system. Getting…

Doc in the southwest who deals with this a fair amount here.