Monday, April 13, 2026

A surprising problem in South Korea

According to the New York Times, South Korea has a pretty stupid system for hospital emergencies:

Despite being one of the wealthiest countries in Asia, South Korea has a buckling emergency-care system. A chronic shortage of E.R. doctors, fewer legal protections for physicians than in other rich nations and a quirk in the emergency response system — paramedics must wait for hospital permission before transporting a patient to an E.R. — have led to delays that can be fatal.

These hospital rejections — called “E.R. runaround,” “ambulance pingpong” or E.R. “merry-go-round” by the local news media — have become more acute in recent years, government data shows. President Lee Jae Myung has described the failures as systemic.

“Patients are dying on the streets, unable to find an E.R. for hours on end,” he said at a cabinet meeting in December and ordered his Health Ministry to fix the system.

It will not be easy.

The average time it takes for major trauma patients to be accepted by an E.R. has doubled since 2019 — the year Dong Hee had his tonsils removed — to 16 minutes and 30 seconds, according to data released by Representative Yang Bu-nam, who is part of a committee that oversees the National Fire Agency. 

Last year, the data show, there were more than 1,000 instances when ambulances had to call over 20 hospitals before finding beds for their patients.

In October, a woman in her 60s was hit on a crosswalk by a cargo truck in the city of Changwon. An ambulance arrived on the scene quickly but the medics — who called 30 hospitals — could not find an E.R. willing to accept her and she died a couple of hours after the accident, according Representative Yang.

Unfortunately, the countries social (and other) media obsession with looks and grooming kind of plays a role too:

South Korea has universal health care and its medical system is considered above average among wealthy nations. But it has fewer doctors per capita than most developed nations and many doctors prefer to specialize in fields that pay more than emergency care, such as dermatology and plastic surgery. 

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