Part of COBRA, which became law in 1986, requires all hospitals to accept all patients for emergency treatment, regardless of ability to pay. The idea was to eliminate "patient dumping", which had become a substantial problem. "All hospitals" means all those participating in any government medical program, like Medicare and Medicaid.
Requiring that all patients be treated could be changed, of course. But many (including me) would not support a "the poor and unhealthy be damned" policy on health care in the United States of America.
I agree, however, that the "fine" concept is raising hackles, if only because everyone recognizes it for what it is - a new tax, from which you are exempted if you have health insurance.
I understand that hospitals will treat people since they are required by law, which is why I phrased my post the way I phrased it.
While I don't have a problem with the government attaching conditions to hospitals that want to do business with Medicare/Medicaid (or, more generally, to entities that choose to
voluntarily participate in a program), this particular law is simply a bad idea.
You say that you and others wouldn't support a "poor and unhealthy be damned policy" in the United States. First of all, nobody's asking you to so you can put that straw man argument down and act like an adult.
First of all, prior to the law in question, people who couldn't afford care still got emergency treatment. Acting as if they didn't before and wouldn't today, without the law in place is just moronic.
But, more importantly, nothing stopped you and those who share your position from helping to cover the lot and the unhealthy in a
much better way: providing charitable healthcare. You could do so directly (start a hospital funded by charitable donations, treat everyone) or indirectly (choosing to cover the cost of those who can't afford it).
Why don't you do that? Hmm?
The facts are simple: Health insurance in the US is broken. There are many reasons. The most important reason is that people view health insurance not as an insurance but as a bill-paying machine, that must cover
all healthcare bills.
So instead of fixing the problem by coming up with sensible solutions, you keep advocating for more bad ideas and you propose that we continue going 100mph down a one-way street.
Forgive me if I think that makes you an idiot and for wanting to slam the brakes.