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Or maybe they are dealing with hospital staff being openly hostile to them and calling them "hood rats" and claiming they are just there with STDs and the flu?
> they have to subsidize all the bad actors
You're right, we are all subsidizing the health insurance and private medical industry.
The problem you describe "People go to the ER because they are uninsured while working" isn't a problem with people being lazy terrible people, it's a problem with the entire US healthcare which binds insurance and healthcare to employment.
You want to make the whole thing cheaper and more efficient? Then nationalize health insurance either by expanding medicare or medicaid to everyone (I prefer medicare). Then you won't see these "hood rats" using the ER for more minor medical issues because they can simply afford to go to a clinic instead.
The solution to that problem is to give those people real healthcare, not kicking them onto the street because they had the temerity to try to access healthcare in the one place that can't turn them away.
If you want instruction on why people are reluctant to point out the situation publicly, notice people (in a sister thread) start screaming bloody murder about "racism" and "because of my wife with cancer you lose" and it becomes obvious why no one is going to publicly give anything but the most gentle and populist message if they actually work in healthcare with their license on the line. Very few people are going to get fired, possibly have their license revoked, have a bunch of frivolous racism cases all to do the favor of having people understand why ERs are broken but then refuse to believe any of it.