In some ways, the United States has always had universal health care. After all, the ER is always obligated to treat patients who come through their doors, no matter how trifling the condition. 

While universal health care that is paid for remains an elusive goal, new research suggests the Patient Protection and Affordable Care Act has led to a sharp decrease in the amount of uncompensated care in U.S. hospitals. 

After examining hospital discharge data in 21 states, Dr. Katherine Hempstead of the Robert Wood Foundation and Dr. Joel Cantor of Rutgers University found that states that expanded Medicaid dramatically reduced the number of patients receiving uncompensated hospital care. 

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