With hospital emergency rooms, size matters. Any given hospital is limited to care for the multitude of patients by the number of ER patient rooms they have. If you have been to an ER recently, you would most likely find extremely long wait times. My mother-in-law was in an ER in South Florida all morning today. When I state all morning, I literally mean all morning. She was there for 12 hours. We are going on 5 hours and my wife was just seen. Bigger hospitals with more ER patient rooms, can see more patients. When I asked the charge nurse tonight why they didn't call in more staff, she said "it's not a staffing problem, it's a room problem." And when I asked if this is a typical day with this long of a wait, she said "yes." As a lifetime ER visitor for variety of reasons, I had to ask, why the influx in patients and the longer wait times than I have ever experienced in my life. She politely replied, "Its because of the healthcare reform." I think I will find out what hospital within an hour drive that has the most number of ER patient rooms and go there next time. With more rooms and a bigger staff, they should be able to more more patients through and not have their patients wait 4 hours or more for an emergency. More research should produce a better plan, that results in less time to handle an emergency. After all, it's the right thing to do and it models the way for others.