I think there needs to be absolute clarity on who the potential patients are. Are you providing equal care regardless of ability to pay for ER care and transport, or are you looking to serve only those people that can pay for the best? I don't see a value judgment on either choice but it needs to be clear.
Pam, no doctor that I have ever worked with has ever performed a wallet biopsy prior to providing emergency medical care.
Emergency medical care is intended to be available to any person with a true medical emergency regardless of social status, religion, ethnicity, sex, age or any other categorization the patient may fit into.