Anyone who goes to an ER in any hospital in the USA today is treated regardless of the ability to pay now. The costs are just passed on to those of us who pay our bills. Although what do you think about a homeless junkie who runs up a couple of hundred thousand bill. I know doctors who'd like to pull the plug on these guys.
My biggest problem is not about emergent care, but ongoing problems. I thnk that free clinics should be done away with EXCEPT as supported by charity. If someone wants to donate money for the care of others, then more power to 'em. I just don't think that it should be a function of government.
Health care is on that evil list of "human rights" that the UN promulgates (and btw was authored by Elanor Roosveldt). IF I have a "right" to health care, then someone has an obligation to provide it. Either you make the doctors work for free (kind of like they do in Canada) for your fellow taxpayers cough up the cash. For example an electro-cautery machine costs about $30k If surgery is my right, then is the manufacturer obligtated to provide the mache for free? You're welcome to form whatever opinions you want of course, but I just don't think so.
I don't think we are going to get rid of emergency care for indigents. If we accept that premise, then my issue becomes 'why have we chose to provide free health care in the most expensive, least effective manner?'. I'd much rather have the government spend $50 of my money to keep the kid from getting sick than $500 for an ER visit when he gets sick. As I said, for me, the only way around this conclusion is to say that we aren't gonna pay for the eventual ER visit. As long as we are, I think we should try to control those costs as best we can.