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Hey I didn't mean to upset you...  I apologize if I have hit a nerve. I do not think it to be too much to ask, to have the local hospital have specialists on call who are willing to come in (or at least be ready to take calls) 24/7.  I grew up in a small town of 25,000 people, and we not only had staff on call, but often in house.  So whoever gave you the impression that it was unreasonable to have specialists on call/in house in a town the size of Tehachapi is underestimating the possibilities.   You are right, most hospitals have lists of bad stories and disgruntled patients.  But, in my (and others') defense, there seem to be a higher ratio at this facility.  I think the Grand Jury's investigation report reflected many of the deficits.   I believe that if Tehachapi Hospital, as you say, cannot afford or chooses not to supply, specialists at least in a reliable on-call situation, that they should not be listed as an Emergency...
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