There's still two questions then, one of which is rhetorical :
1. Don't persons who purchase through exchanges get subsidies? Because I know of almost no one who pays full price for their health care, whether through their employer, or some subsidy via government.
If that's so - money that belongs to citizens is being diverted to people who shouldn't be here.
2. If the IDEA - is to open the possibility for illegal aliens to STOP getting free care in ER's and clogging them up -
Why in God's name would they THEN choose to PAY for it, when the ER is free, especially without a subsidy but at full price?
The stated purpose is to alleviate the congestion in ER's.
What makes them think it would do that?
To answer 1: Yes, that's generally how it works. But as I indicated in the post (#20) just before my response to you, what this new Maryland law would do is allow people who aren't - by federal law - eligible for those subsidies to purchase coverage through the Maryland exchanges. So they wouldn't be getting the subsidies that many others are eligible for. Washington state did something similar, though after a quick glance it looks like Washington made the new people who could buy through their exchanges eligible to receive small state level subsidies which were available to others. But even with the federal waiver they aren't eligible to receive the larger federal subsidies.
To respond to 2: Sure, the uptake on this probably won't be large. IIRC they did some kind of study meant to estimate what the uptake would be and it suggested a low rate. But some would use the exchanges. Various groups of people - to include, e.g., illegal aliens - aren't monoliths. In many ways their circumstances vary. And for some it might make sense to have coverage instead of, e.g., needing to use ERs for things they might be able to see regular doctors or specialists for. There are numerous advantages to that - e.g., lost time, quality/continuity of service, cost. Yes, plenty of people can avoid paying for ER services, buy they aren't free per se and there are consequences for not paying for such services.
That said, yeah, I wouldn't expect the impact of this new law to be huge. Used car price inflation reversed a while ago and now new car price inflation has started to