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the same way they make you buy auto insurance.
the states aren't necessarily limited by the US constitution. see 10th amendment.
EMTALA isn't a mandate, it's optional. practically every hospital has opted for it as there's a big stick attached (no medicare funding if you don't accept EMTALA). but it's still optional....and hospitals can hang big signs on their doors that say no insurance, no bother coming in.
You can be as unhealthy as you want driving off those public roads without insurance. Get hurt and have to use a public road to come to a hospital, you'd better have insurance, both auto and health.
Are you opponents of health care OK with no longer mandating hospitals care for people who have no insurance?
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