The reasons for that are usually twofold: Most of the people packing Anderson's facility either can't afford insurance or can't get a doctor's appointment soon enough.
The health reform signed by President Obama in March, which will expand insurance to nearly all Americans, aims to lighten the load for emergency rooms by diverting more people to the doctor's office. But Anderson is skeptical about how that will work. He pointed to media reports about overcrowded emergency rooms in Massachusetts after the state passed a health-care reform package similar to Obama's in 2006, and said that with only so many doctors to go around, he wouldn't be surprised if many of the new people on the insurance rolls head straight to his doorstep.
"It's hard to say that, with this new health-care system, there is going to be a decrease in the emergency department," Anderson said.
A prescription for uncertainty
Anderson is not the only one in town — including even reform supporters — wondering how well the White House's health-care fix is going to work.
Some hospital administrators in Huntington Beach and Fountain Valley have expressed gratitude for the government's attempt to fix what they consider a badly flawed system, but also wariness about whether the reform can meet all its goals. And nearly everyone seems to agree on one point: The changes Obama signed into law will not be the last ones needed for America's health-care system.