The free care that Americans get is billed to the patient, If they can not pay they go into bankruptcy. Then the costs are absorbed by the corporations. Except the corporation will see a drag on their bottom line, and increase the prices to their products (Insurance, cost of medicines and care). And as an end user I have to perform a cost/benefit analysis when said megarich corporation raises my rates, and if I am the breaking point I will drop my coverage or decline service and I doubt that I would be alone.
Now the corporations will see that less people are purchasing their services and will have to raise their prices a bit more to cover their costs.
And now that there are just a few more people who are out of the system they will get sick and go to the ER, and be billed for the services incurred. Being unable to pay they will, eventually, file for bankruptcy and leave the corporation with the vast majority of the bill.
If this were a flow chart I would say go back to the point where the corporation has to raise rates.
This is a feed back loop with the main cause being the law that was signed in the 1986 ( http://en.wikipedia.org/wiki/Emergency_Medical_Treatment_and_Active_Labor_Act ).
Now really, as a good capitalist, should we really be providing free care to so many people? They should be required to pay, or demonstrate the ability to pay, ER's before they, the ER, treats them. Should we really let people shrug off their financial obligations upon the rest of us unwillingly?
Shouldn't you only receive services that you are able to pay for? If I have not saved for those chemo treatments, should I receive them? If I do not have to ability to pay for, either through insurance or my private finances, should I receive the services of an ER after a car accident? Remember if I can't pay for it, then eventually you will pay for it through higher insurance premiums and higher hospital costs.
If I buy insurance I am volunteering to share the cost burden with those who I am pooling my money together with. But to be forced to cover people who do not contribute anything is a horrible idea. It leads only to the products that my insurance should cover increasing in price. It essentially gives insurance to those who have not paid for it.
This is unfair for the 250 Million (it's more depending on who you ask) Americans who pay for their insurance.