[Symmetry]

It's the law that US hospitals have to provide care regardless of ability to pay in an emergency but not preventative care. Medicaid, which would cover dialysis for most poor people doesn't cover unauthorized immigrants. Your hospital is functioning as the law directs it to. I was going to put "as the law intends" but our system is very much a Frankenstein quilt with many effects that nobody really intends. But politicians know that people would be angry if they heard an immigrant was left outside a hospital to die of kidney failure and they know people would be angry about providing non-emergency medicine for free and they know that not many people will notice we collectively spend more money this way and most of the people who do notice won't see how it makes everybody's medical care more expensive rather than just hurting hopsitcal owners and unauthorized immigrants.

[kingkawn]

None of it is ethical, law or not.

Plus it is massively more expensive to let people continuously loop back into kidney failure.

More expensive and unethical.