Last year, 1 in 7 patients left Upstate University Hospital's adult ER without getting care. Others spend hours — if not days — waiting in the ER's crowded, patient-filled hallways for a bed. “It’s as bad as it gets,” Upstate’s chief emergency doctor, William Paolo, said. The Syracuse hospital's officials have requested $450 million to build a new adult ER and burn center — a project that would allow Upstate to move its fourth-floor children's ER downstairs. So far, Gov. Kathy Hochul has budgete