Charity and providing care to those who present themselves are not the same thing. You might be right though that they don’t bill some people, but that would work the same for citizens of both states.
Do I have it right that you blame Idahoans for coming to Washington hospitals which might mean more Washingtonians die?
Does it really matter what state the person is from who dies?
I think its growing on me, there should be like a dozen variations of that emoji for proper expression.