My wife just recently had a baby last week (another topic but you'd be amazed the level of nanny state that exists now while filling out a birth certificate), and after hours you had to exit through the emergency room, and even late at night it felt like a clinic more than what it is really intended for... life or death emergencies. Why? Because people either know they are going to get away for free, or they just have a low deductible/co-pay. In fact we were told that if our new baby had a fever to take her straight to the emergency room instead of calling the doctor or having a clinic that was open for longer hours. All of this is the main reason why healthcare is getting more and more expensive by the day.