With greater access to health care com­ing due to guar­an­tees under the ACA, it was expect­ed, and now it has come to fruition, that emer­gency room vis­its are up. In a sur­vey of 2,000 emer­gency room physi­cians, it is claimed that vis­its have increased marked­ly. A spokesman said “there was a grand the­o­ry the law would reduce ER vis­its. Well, guess what, it hasn’t hap­pened. Vis­its are going up despite the ACA, and in a lot of cas­es because of it”