There is an article at the Boston Globe that shows just how intertwined health care is with interstate commerce, and the consequences of each state coming up with their own widely differing solutions.
The doctors and nurses in the emergency room of Holy Family Hospital in Methuen routinely treat patients who lack health insurance.
How can this be, given that Massachusetts requires its residents to obtain insurance and has achieved near-universal coverage since its landmark health-care law passed in 2006? Simple: many of the uninsured showing up at Holy Family hail from across the state border, a mere three miles away in New Hampshire, which has no such mandate.
. . .
Uninsured New Hampshire residents using the emergency room account for 11 percent of the hospital’s bad debt each year, said Lester Schindel, president of Holy Family.