WI: EMTALA not passed in 1986?

Historically, at least until the 60s, there was a racial component to it, especially in the South. There are stories of black patients bleeding out just yards away from a white hospital, which wouldn't admit them because they had to wait for the ambulance to take them to the black hospital across town. And the practice where many white GPs would refuse to treat nonwhites, so blacks in rural areas would have to settle for using a veterinarian as an unlicensed physician.

there is also a religious connection as well with certain hospitals refusing people whose 'morals' fell below what they considered acceptable ... so unamrried mothers, people who have overdosed or drunk too much alcohol ...
 
Maybe you had more territorial ambitions back then;)

The word America to denote the continent is much older than the US. Imagine Germany starting to use the adjective European instead of German. You can imagine the outrage of other European countries.
Imagine Europe being colonized by nations of a completely different culture, say, several Chinese states. The agreed upon name for it is based off a minor explorer from Guangzhou, with the name being "Wangia." All of the colonizers at one point or another call their colonies Wangia, merely saying Yan Wangia, Wu Wangia, and so on. The colonists are known as Wangers. A nation's colony, whose residents have been called wangers for decades, is the first country in Wangia to declare independence. They name their state not after their geographical position in the continent, but after their form of government.
 
Obviously that, but as stated before, the ER has been a lifeline for uninsured people, and a major argument of people opposed to healthcare reform is that they could just "go to the ER", so I'm wondering how this would have affected American politics, especially healthcare reform.

ER care is the most expensive treatment option. Going to the ER for minor ailments drives the cost of medical care ever upward.
 
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