Under the Bush administration model, a sick person with no insurance goes to the emergency room for treatment. Does he get a bill once he’s taken care of? Probably, but it doesn’t matter because he can’t afford to pay it.
If the patient can’t pay the bill and hospital can’t treat sick patients for free, who pays the medical bill? Everyone else.
Yes, everyone pays, everyone gets treatment. Bush and his team support the most inefficient system of socialized medicine ever devised.