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If you're talking about EMTALA, it has nothing to do with Medicare. What law do you think prohibits people from charging subscription fees? Because AFAIK every state in the union has concierge medicine.

Amazon isn't Google. Amazon still operates SQS.

> In many (most?) states, they are actually legally required to offer services to you without a subscription

For emergency services from hospitals that provide emergency services, that's true. But for virtually anything else I don't think it is.