The idea is that people with insurance will now just go to their doctor instead of piling into the ERs.
In Oregon, they looked at this. The had two groups--those who got Medicaid in a lottery and those who entered and didn't get it.
The insured people went to the ER far more often.
They claim to not know why this is. I can tell you.
--They think the insurance will cover most of it.
--The ER is handy. You can have two jobs and go to the doc late at night.
--You can get all tests at the ER--and not hare around town finding an approved imaging place and an approved lab.
--If you are pretty sick, the hospital is right there.
--And my favorite--primary doctors often SEND you to the ER. This happens when they don't have or run out of same-day appts or if your problem sounds bad.
ERs only account for 4% of spending anyhow. But, yes, the charges there are crazy--two stitches for $3500. That kind of thing.
One expert said people would quit going so much when their "new plans" cut in and they had to pay the deductibles. Oh, joy.