And it ignores the reality that currently and prior to the PPACA, costs were already being shifted.  Given federal law, anyone in an ER must be treated - this is paid for via taxes and higher costs to those who have insurance or pay out of pocket. One reasons for the PPACA was to address the prior cost structure; support hospitals in ER costs; prevention to reduce ER visits; mandate annual check ups; maternal care; etc. to reduce costs.  The proposed AHCA will not cover maternal, wellness, or mental health - stupid.

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