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In this Tuesday, Oct. 17, 2017, photo, Dr. Jesse Pines poses for a portrait at the George Washington University School of Medicine & Health Sciences Clinical Learning and Simulation Skills (CLASS) Center in Washington. Pines teaches emergency medicine at the school and also does a rotation in the hospital's emergency room. A push by the insurer Anthem to limit ER visits to true emergencies worries doctors and patients who question whether they will make the right call or get stuck with a bill. “I think it’s completely unfair to patients,” said Pines. “It runs the risk of really hurting some people.” (AP Photo/Jacquelyn Martin)

In this Tuesday, Oct. 17, 2017, photo, Dr. Jesse Pines poses for a portrait at the George Washington University School of Medicine & Health Sciences Clinical Learning and Simulation Skills (CLASS) Center in Washington. Pines teaches emergency medicine at the school and also does a rotation in the hospital's emergency room. A push by the insurer Anthem to limit ER visits to true emergencies worries doctors and patients who question whether they will make the right call or get stuck with a bill. “I think it’s completely unfair to patients,” said Pines. “It runs the risk of really hurting some people.” (AP Photo/Jacquelyn Martin)

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