If you had actually read the article you would know that Michelle Obama lead a highly successful effort to direct non emergency health cases away from the ER (which is the most expensive and least efficient method of dealing with such cases) and to local area clinics which were designed to provide the kind of care and follow up that the ER could not. It is ironic that conservatives who oppose universal health care and claim to hate waste would attack on this issue. I applaud Obama for this.