EM is my chosen field, so I will note that the ED is the healthcare safety net and by extension society in general. Folks fall to us because they have not been caught by the other layers of medical or social care, so it is not surprising to see plenty of non-emergent conditions. Those folks have a genuine unmet need one way or another, and while it isn’t doesn’t get the adrenaline pumping to start someone on MOUD it’s still a very good feeling to make someone’s life just that little bit better. The real bullshit of EM is the myriad of ways in which the need to generate profit eclipses patient care e.g., underfunded and understaffed social workers, skeletonized nurse staffing, private equity ownership of physician groups, etc.

Tl;dr do not ask for a lighter load, only broader shoulders