Dr. Eric Forsthoefel an emergency room doctor on the East Coast

Dr. Eric Forsthoefel is an emergency room doctor located on the East Coast. He attended Florida State University where he earned a Bachelor of Science in religion in 2004. In 2009, he graduated from the University of Louisville with his MD and did his residency at Louisiana State University Medical Center in 2012. Dr. Forsthoefel is certified by the American Board of Emergency Medicine and holds a Louisiana State and Florida State medical license. He is trained to work in an emergency room setting and experienced in handling many kinds of medical cases. Dr. Forsthoefel successfully assesses and treats patients entering the emergency department with potentially life-threatening situations.

Dr. Forsthoefel has seen his share of non-urgent cases come through his emergency room. When asked about this issue, he stated that primary care medicine is part of the solution to this problem. If more primary care doctors had evening hours or took on more Medicaid patients, it would reduce the number of people coming to the emergency room for non-urgent reasons. Studies have been conducted that shows there is a correlation between different groups of people and why they use the emergency room.

Unlike the popular notion that most people in the emergency room for non-urgent issues is because they are uninsured, this is not true. The uninsured only make up only 20% of the patients. The bulk of the patients are Medicaid patients. Many times, Medicaid patients go to the emergency room because they do not have primary doctors. Additionally, these patients know that they can get all the services they might need in one place. They know that they will not be sent to multiple specialists, which might demand copayments, that they cannot afford.

There have been efforts by some insurance companies to refuse to pay for non-urgent issues that are treated in the emergency room. This is a tricky situation. Someone may arrive at the emergency room with chest pain. There is no way to rule out a heart-related issue without being seen by a physician. However, if it ends up being heartburn (which is non-urgent) some companies may not pay for it. This leads to the possibility of people with urgent conditions not going to the emergency department because they are not sure what the problem is and are afraid they will get saddled with a big bill.

Doctors want to help patients and needs are not always obvious when they get to the emergency room. However, with different tactics being used and suggestions for initiatives to keep non-urgent cases out of the emergency room, they might see a difference in the influx of these cases. The effects of these changes need to be closely monitored because the last thing the medical community wants to do is not treat people who really do have a medical crisis. And so far, one of the best solutions is to increase primary care doctor access so patients do not have to wait days to see their doctor, or they are not turned away for treatment by primary care physicians.


Felipe Montoro Jens Says Government targets 18 Infrastructure Auctions by the close of 2017

The government plans to have 18 infrastructure auctions in the second half of 2017, and this is in line with what the Investment Partnership Program Secretary, Gomes de Freitas said. The secretary had given assurance that the schedule would not change irrespective of the political discussions that the Brazilian government was involved in

Freitas said that the 18 auctions would start in September and they will work in parallel with Congress discussions. Felipe Montoro Jens, the PPI infrastructure project expert says the program is open to participation by new players in the concessions.

Great challenge

Gomes de Freitas points out a challenge in lower productivity in Brazil, calling out for infrastructure sector to be expanded and modernised. He further says there is a need to attract more investors and reduce unemployment that has become so rampant. Gomes added that enhancing governance on projects is a significant gain for the Investment Partnership Program. He says that they have been able to create a hub and articulate with ministries and are targeting select projects that are successful and will attract the private sector.


One of the primary objectives for the PPI is correcting a myriad of mistakes realised in the area of Public-Private Partnerships. This was caused by the state intervention which culminated to an imbalance of project risk. In an interview conducted by the EXAME editorial director seeking to know if previous errors in concessions negatively impacted foreign investors decision, Freitas pointed out the government had done away with anti-business line and embraced a pro-business line.

During the first year of Michel Temer’s presidency, PPI had managed to hold 44 infrastructure auctions. This translated to business investments that amounted to approximately R $23 billion. Michel Temer rose to Brazil’s presidency on 31st August 2016.