Should emergency hospital services for illegals be based on a manditory call to the INS?

That would stop Anchor babies cold. If the woman comes in, ready to deliver and can't produce proper papers, two burly INS agents should be sitting in the waiting room. If the baby gets a US Birth Certificate, it comes at the cost of BOTH mother and child having to leave the country as soon as both are stable. The child will have the unpaid hospital bill attached to his records and will have it collected at the border upon his future return to the US after the age of 18. Simple emergencies such as colds (yeah, right!) will still require picking up that phone. Have your card ready and if it doesn't check out, either leave or we call the INS and THEY permit you to be treated. But after that, you'll have to go with them for a discussion about your current address.