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Michael, a 28-year old intoxicated student presents to the small and rural Good Will Hospital with symptoms from a previous injury. His medical issues require

Michael, a 28-year old intoxicated student presents to the small and rural Good Will Hospital with symptoms from a previous injury. His medical issues require a neurosurgery consult. Good Will asks Mega City Hospital in Trenton (which has a neurosurgery center of excellence) to authorize a transfer. But the on-call specialist there knows Michael and his non-compliance issues. So Mega's on-call speciaist refuses to accept the transfer. Both hospitals participate in Medicare. Is Mega's refusal an EMTALA violation?

A- Yes, if Mega City Hospital had the capacity to treat Michael

B- Yes, if Mega City Hospital did not have a dedicated emergency department

C- No, because Mega City Hospital has not yet formed a treatment relationship with Michael

D- No, because Michael never reached Mega City's Hospital property

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