This subset does exist, but is smaller than the percentage of people who think the system is broken - and the solution is not to just open up the floodgates and make it even more broken and even more expensive.
You FIRST have to fix the system before you open up the floodgates.
I am on your side that I think it would actually cost LESS to move all high-cost patients off of the ER and onto Medicaid.
But that's not a big enough problem to actually move the needle. In the rosiest scenario, you might save 2% per year. That's still like $20-40B, so nothing to scoff at - but in realistic scenarios, I'm doubtful it would save >$10B.
Even if they had Medicaid, they're so conditioned on going to the ER for everything, a lot of them might still go there instead of somewhere cheaper. For one, they might be convinced they get better care there (and maybe they would).
There's way bigger fish to fry.
I don't see any reason to fix the system on a nationwide level. Let the individual states figure it out. There's things that the top 5 US states for healthcare have in common, and there's things that the bottom 5 US states have in common [0]. They know how to talk to each other if they want to know more.
[0]https://www.commonwealthfund.org/publications/scorecard/2025...
It's a problem because the nation already ineffectively covers the tail.
The state shall not fix what is not a problem for the state.
The more critical, and yet smaller, subset is the people making bank from the current system. Get their money out of politics and watch resistance crumble.
"Blood libel" refers to a specifically anti-Jewish trope of alleging that Jews murder Christians, especially children, to use their blood for religious rituals. Grandparent comment is 100% not blood libel.