I've been involved in some investigations of deaths in Australia in the past year which involved poor advice or treatment from public hospitals. An increasing number of people appear to be getting sent home from public hospital emergency departments in circumstances where more investigation seems warranted. A number of these people then die due, at least in part, to their conditions not being taken seriously enough. In every case I looked at it involved either a very junior physician or someone working near the end of a very long shift. If you have someone you care about suffering from chest pains you basically need to insist that they are kept in for observation and tests. One awful matter involved a 10 year old girl being sent home after falling off a bunk bed and complaining of severe head pains and vomitting - by the end of the next day she was brain dead as a result of subdural bleeding. In a large scale emergency this might be even more important.