Answer:
The probability that at most three used the emergency room for a sample of 10 people is 0.8791.
Explanation:
The random variable X can be defined as the number of people in a community using the emergency room.
The probability that a person uses the emergency room is, p = 0.20.
A sample of n = 10 people are selected.
A person using the emergency room is independent of others.
The random variable X thus follows a Binomial distribution with parameters n = 10 and p = 0.20.
The probability mass function of X is provided as follows:

Compute the probability that at most three used the emergency room as follows:
P (X ≤ 3) = P (X = 0) + P (X = 1) + P (X = 2) + P (X = 3)

Thus, the probability that at most three used the emergency room for a sample of 10 people is 0.8791.