Okay. When you get a significant enough portion of the populace not able to pay their hospital bill, the hospital will soon wind up on the ropes. I suspect the demographics being what they are, you’re getting the same effect as if it were illegals.
Poor black over-represented, bills go unpaid. Working people in the area pay the price, as service evaporate and you have to go farther in emergency situations for medical care.
This could easily cause people to die in transit, who would have lived.