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It's not more expensive (to you) if your copay is $3 and you refuse to pay it, and your premiums don't go up no matter how much you use the ER, and there's no limit on the number of ER visits you can make. You still have to be seen. But you're right, people with private insurance and hefty ER co-pays already get penalized for frivolous ER use.
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The greatness of a nation and its moral progress can be judged by the way its animals are treated. - Ghandi 
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