I work at an urgent care. We routinely turn away people who are uninsured or have Medi-Cal (California medicaid) AND are unwilling to an upfront fee for the eva

I work at an urgent care. We routinely turn away people who are uninsured or have Medi-Cal (California medicaid) AND are unwilling to an upfront fee for the evaluation. So we see the uninsured but only if they pay. I see no difference in the chief complaints, but the uninsured generally wait quite a bit longer, and therefore often need not 5 times as much care, but 100 times as much.