Why must medical care be provided for free?

From Dr. Edwin Leap writing for Kevin MD:

This strikes at the crux of the problem facing physicians, whether working in EDs or on call for hospitals under EMTALA. Everyone (politicians, administrators, patients [AKA consumers], and customer advocates) is confident of a few things. First, emergency medical care is so important that no one should be expected to pay at the time of service or indeed ever “if they really need it.” “Emergency” means, in current parlance, everything from a painful tooth to sunburn, and of course, vastly worse things like lost prescriptions, heart attacks, trauma, and lack of confidence in a home pregnancy test.

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