They're going to get cared for in emergency rooms anyway, and the rest of us are going to have to pay for it anyway. And when that happens, we pay a lot more than we would have had to pay to let them get care along with everyone else before their problems become catastrophic. Also, if they are included in the same programs as everyone else, they will at least be paying into those programs. If they are excluded, they won't be paying into the programs, and we will still be footing their emergency room bills.