For the most part, you are going to pay for their medical care anyways. The vast majority of the emergency room “freeloaders” that you’re referring to are either are illegal aliens who aren’t subject to mandates, or lower income people who will qualify for taxpayer subsidize health insurance.
In MA, Romneycare has affected significant number of people who could afford health insurance, but chose not to buy it.
That includes young people who do not see the need for insurance.
What we need in this country is total relaxation of restrictions on health insurance. We should be be able to buy insurance from out of state. And get away from the deluxe insurance Obamacare requires us to buy. How about a catastrophic health situation only insurance which would be lower cost and young people would be willing to buy it.
The lower income people you refer to will always be a burden on others. No change there. Romneycare has changed nothing for them.