The current state of healthcare in the US is a joke.

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Since it's already funded, care to take a look as to why hospitals are going bankrupt in California? They apparently don't have enough funding to keep up with the needs. How were you planning on reducing costs again?
In 2003, the American Southwest saw 77 hospitals enter bankruptcy due to unpaid medical bills incurred by illegal aliens. A staggering 84 hospitals in California alone, have been forced to close their doors because of the growing crisis. Hospitals which manage to remain open, pass the unpaid costs onto the rest of us, which translates into more out-of-pocket expenses and higher insurance premiums for Americans.

You answered your own question and at the crux of what I've been saying the whooooolllle thread

Make it so that EVERYONE is payed up BEFORE they even walk in the door