Call it Medi-Cal, call it state fund #702, call it anything you like, my state, your state and every other state pays for these people. If your state is still a part of the union, then it pays for this stuff. And yes, it gets partially reimbursed by the federal government just like every other state. If you wish to fixate on Medi-Cal, jump up and down, slander us for ever adopting such a stupid plan, and assure yourself that your state doesn't have to pay these same types of fees, go ahead. It won't be true, you'll be in denial, but you have every right to think whatever you want.
The difference is, as I understand it, Med-Cal covers elective procedures where other states cover emergencies...