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So they just go to the emergency room like all the other illegal immigrants.

The ER sends the unpaid bills to a collection agency that really, really does want "cash now". At a 25% commission, the collection agency will do what it takes to get the money. Parents, friends, etc ALL get called in order to "reach" the debtor. Writing off the ER costs will drop dramatically--after all, it IS taxpayer money. The person who failed to have insurance made a choice--and they then pay the consequences.
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