So the government can import doctors form Cuba to work in the ER on non-emergent cases. As long as the patient is not critical, the ER can pass the buck. The diagnosis and treatment of chronic disease is not a part of emergency care.
They will get the illusion of good care and don’t forget the vaccines.
Or they can double the co-pay for non emergency care received in an emergency unit and take it out of their EIC tax refund at the end of the year if left unpaid.