Without something as harsh as the threat of jail time, you're giving hospitals no other choice but to: (1) require uninsured patients to pay cash or post a bond up front, or (2) close down.
The Feds provide reimbursement for uncompensated ER care. Much of the rest of the cost is picked up by patients paying “rack rates”. Almost all of the issues surrounding care for the indigent have some sort of compensating program for the providers. The real necessary systemic reform is less about addressing unaddressed issues, and more about addressing them in the most efficient manner. Unfortunately, OCare will, in most cases, be doing just the opposite.