Rattler, it was the hospital that was responsible for a seemingly unmotivate or untrained or whatever Dr. overseeing the ER. They might be even even more at fault than the Dr. because people in the community have to trust the hospital to have qualified staff. That's a huge problem in rural communities and there's no simple solution, but the hospital needs to show it used due diligence in putting the community in that guy's hands. Otherwise they can feel secure in cutting corners when staffing the place. The only thing that holds their feet to the fire is the threat of a lawsuit.