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Regardless of the accounting fiction, this situation is unsustainable.

Imagine a world where illegal aliens are denied all medical care including emergency or life threatening.

Hospitals can focus resources on more important people.

Hospital care is zero sum. Hospital beds especially ICU are limited.

Hospital care is only zero sum because of stupid regulations, like certificates of need. I'm not arguing that the situation isn't unsustainable, but there are plenty of other reasons why medical services are in short supply.

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I agree with your comments about hospital shortages etc.

But you deflecting the issue to make excuses, lame excuses, irrelevant excuses for illegal aliens

Why are there long wait times in California Arizona Texas hospitals?

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I didn't make any excuses. The reason there are long lines is the same as it is in any other situation with long lines: a poorly functioning price mechanism.

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The lines would be shorter with fewer people

Especially if many people don’t pay

Price mechanisms don’t matter if patients don’t pay their bills

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You could be charitable and assume that eliciting payment is part of a price mechanism.

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Illegal aliens don’t pay for hospital care.

Who covers their costs?

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Generally, their costs are covered by a combination of taxpayers, because some illegals can get medicaid, and higher insurance premiums.

It's no different than any other poor people who don't have insurance, though.

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Your points are valid

We have enough poor people

We don’t need to import more poverty from the third world

How many illegal aliens can taxpayers support?

50 million?
100 million?
500 million?

I know the answer is not unlimited or infinite

Citizen taxpayers

Higher premiums for citizens

Citizens are getting screwed by illegal alien freeloaders.

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How many illegal aliens can taxpayers support?

The solution is implicit in your question. If taxpayers weren't forced to support these people it wouldn't be nearly as big of a problem. Who's forcing us to support them? It isn't the "alien freeloaders".

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