You are right illegal?s get free healthcare already. You are misinformed on the part about having to change their name and use the emergency room for non-emergency care. I sold medical billing systems for 5 years and part of our system was to report to the government that ?quality healthcare? was being administered to all, illegal or legal migrant workers. No need to hit the emergency room and change your name they already get preventive care and their payment is based off their ?reported income?. The payment is a calculation and is no more than $5 to $20 per visit. The cost is not built into our premium the state tax system flips the bill with federal funding mix in.