My theory is, Patsy unintentionally harmed JB to the point of no return, and she knew that it would be really hard to explain that to the doctor's in the ER....some posters say, "well, she could just tell them that JB fell"....Well, Doctors aren't stupid, they can tell by an injury how it happened. There's probably millions of parents that tell the ER doc...that their child fell off of a chair and broke their arm. Doctors go to college to become doctors...they can tell if it was broken by falling off a chair, or from abuse. And I think that Patsy knew this....plus, JB could have been being molested, and Patsy and John were afraid that the dr's would find it out. BUT, think of Patsy's shocked expression, when in one of her interviews, she was told that JB was molested...and Patsy said "How did you know that"? Well, if John and Patsy had of taken JB to the ER, and the molestation had of been found out, why couldn't they have just said that they have no idea how it happened, or who did it. They could have just played stupid. But, as to JB fractured skull, thats just a little bit harder to wiggle out of....IMO...that is the reason that they didn't take her to the ER...and it could be, that her pulse was so faint, that they already thought that she was dead...after the head wound. It wouldn't have looked very good for them, to bring in their "dead" child to the ER, and say that she fell down the stairs or something....because they knew that the ER doctors would be able to see through that lie. They would have x-rayed her and would have seen that huge hole in her skulll, the doctors would have asked a million questions that the Ramsey's would have had to lie their way through.....huh....she tripped outside while skipping, huh, she fell down a whole flight of stairs....huh, we really don't know HOW that huge hole got into her skull. The doctors would have figured it out...and the Ramsey's knew that...thats the reason...IMO...that they didn't take her to the ER.