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What happens if you can't pay medical bills? (USA)

245 replies

RedDeadReflection · 31/12/2024 19:00

What happens, as a tourist, if you can't pay your medical bills?

I know as a resident depending on the state they can bankrupt you, seize assets, get priority during probate if you die, sometimes your spouse is responsible after that too.

But what happens if you aren't American? Assuming no (or poor) health insurance.

Reading about the woman who went to Florida without health insurance and has now been in hospital for five weeks. Repatriation not yet possible, and even if it was it's £130k. The gofundme has "only" raised £38k. If she recovers well enough to leave the hospital what happens? There must be a fairly robust procedure in place or nobody would get travel insurance if they could just walk out and fly home with no consequences. In this case the woman is a pensioner with few assets so I've no idea what they could do.

OP posts:
PinkSparklyPussyCat · 01/01/2025 19:10

cakeorwine · 01/01/2025 15:00

Jesus Christ? Who's he then?

(Just trying to get a new derail in)

You’re just showing your ignorance, use google and educate yourself!

(For the avoidance of doubt I’m not being serious…)

Areolaborealis · 01/01/2025 23:37

RedDeadReflection · 01/01/2025 18:18

EHIC doesn't "cover you" for treatment, it allows you to be treated for the same cost as a local, which isn't necessarily free. In France, from memory, you'll pay 30% of the cost and the other 70% is covered just as if you were a resident.

Years ago my friend took unwell in Spain. Even with insurance we had to club together to pay upfront for a doctor to come out to the hotel and then for an ambulance. We were glad we had emergency money.

RawBloomers · 02/01/2025 00:39

CulturalNomad · 01/01/2025 16:27

And unlike areas of the US the debt will die with her, her relatives can't be chased for it

In the US if you are married then any debt incurred by one of you during the course of your marriage will be the responsibility of the surviving spouse (in most cases).

And parents are generally financially responsible for any minor children.

Other than that though relatives (adult children, siblings, etc) aren't liable for your debt. They could of course lose any inheritance if debts are outstanding at the time of your death and need to be paid by your estate.

That’s only the case in some States. But Florida is not a community property state so the situation there is much like it is in the UK where, on death, your spouse is not automatically responsible for your debt.

Interested in this thread?

Then you might like threads about this subject:

Jom222 · 02/01/2025 02:38

Ayechinnyreckon · 31/12/2024 21:36

Happened to someone I knew.

Went to the USA, had insurance but it was insufficient and once it maxed out they transferred her to a lower grade facility. She recovered enough to return home to the UK, where they pursued her relentlessly through international debt collection agencies. She sought legal advice and was basically told they'd just chase and chase until the debt was paid, they'd add interest and get a CCj type equivalent etc.

She eventually worked out a payment plan with them but it would take years to pay off.

I know in America they can pursue your relatives for debt, I'm not sure how that comes across the pond.

Um no medical care debt isn’t chased to other family members in america*

where do these notions come from?!?

*the ONLY way this would happen is if the patient died owing the debt and left an estate, that they could and would go after, no matter who it was left to. An insurance policy I suspect they couldn’t lay claim to but I’m not a lawyer.

but just to make a family tree and start shaking the branches for money? Lol no.

RedDeadReflection · 02/01/2025 08:07

Jom222 · 02/01/2025 02:38

Um no medical care debt isn’t chased to other family members in america*

where do these notions come from?!?

*the ONLY way this would happen is if the patient died owing the debt and left an estate, that they could and would go after, no matter who it was left to. An insurance policy I suspect they couldn’t lay claim to but I’m not a lawyer.

but just to make a family tree and start shaking the branches for money? Lol no.

And yet other American posters have said on death in some states the debt passes to your spouse....

OP posts:
cakeorwine · 02/01/2025 08:11

RedDeadReflection · 02/01/2025 08:07

And yet other American posters have said on death in some states the debt passes to your spouse....

This might help explain stuff.
It's from Experian - so hopefully a reliable source

What Happens to Medical Debt When You Die? - Experian

Your medical bills don't go away when you die, but that doesn't mean your survivors have to pay them. Instead, medical debt—like all debt remaining after you die—is paid by your estate.

Estate is just a fancy way to say the total of all the assets you owned at death. When you die, the money in your estate will be used to cover your outstanding debts. If you had a will and named an executor, that person uses the money from your estate to pay your outstanding debts. If you didn't have a will, a judge will select an administrator to carry out the judge's decisions about how to distribute your estate.

Debts must be paid before your heirs receive any money from your estate. If the value of your estate is equal to or more than the amount of your debt, your estate is solvent—that is, it can afford to pay the debt.

If you have more debt than assets, your estate is considered insolvent. In this situation, things get a bit more complicated. When you have more debt than your estate can cover, the court will prioritize payments to creditors according to federal and state laws. Some creditors may get the full amount they are owed; others may get partial payments or nothing at all. Your estate may have to sell some assets, such as your home or car, to pay the debts.

(There are some exceptions - in the link)

What Happens to Medical Debt When You Die?

Medical bills don’t go away when you die, but that doesn’t mean your survivors have to pay them. Medical debt is paid by your estate.

https://www.experian.com/blogs/ask-experian/what-happens-to-medical-debt-when-you-die/

sashh · 02/01/2025 13:07

AppleAllSpritz · 01/01/2025 09:08

There was a mention of Clive on here a few days ago. I think he’s still being contrary.

Both are now in prison for human trafficking.

RedDeadReflection · 02/01/2025 15:53

sashh · 02/01/2025 13:07

Both are now in prison for human trafficking.

This is because they were caught on a boat somewhere with two Ethiopian folks wasn't it? Don't think I've seen an update on the baby situation.

OP posts:
Peasnbeans · 02/01/2025 18:11

Found it, thanks. There's a Mumsnet thread - I'd no idea there was more to the story. But it reads that both children are now in UK and wards of court, thank goodness.

https://caymanmarlroad.com/2024/09/05/man-gets-4-years-imprisonment-for-human-smuggling/

Mookie81 · 02/01/2025 21:55

AsTheLightFades · 31/12/2024 20:44

Ok, so just because you don't know about something, you think that those who do are in an echo chamber scenario?
That's ridiculous and demonstrates a child's thinking.
Why is an interest in something that affects my daily life an echo chamber rather than ignorance?

What the hell is your problem?
Lots of people have claimed not to have heard of him (myself included), no need to be so snidey about it.

AsTheLightFades · 02/01/2025 22:05

Mookie81 · 02/01/2025 21:55

What the hell is your problem?
Lots of people have claimed not to have heard of him (myself included), no need to be so snidey about it.

I do not have a problem, in answer to your aggressive question.
Please go away

AsTheLightFades · 02/01/2025 22:07

I read more than plenty.
Please explain in plain English @RedDeadReflection

AsTheLightFades · 02/01/2025 22:09

Mrsbloggz · 01/01/2025 14:59

Oh come on, surely you realize this poster is dried fruit enthusiast 😅

And you must be a z enthusiast or someone who uses American English rather then English English

RedDeadReflection · 02/01/2025 22:14

AsTheLightFades · 02/01/2025 22:09

And you must be a z enthusiast or someone who uses American English rather then English English

Edited

By "rather then" I assume you actually mean "rather than" because you're currently incorrect in every English.

It's not a great look making fun of someone's spelling and getting it wrong yourself. You're also welcome to leave the thread if you'd like, your contributions haven't exactly been well received and the thread is ready to be put to bed.

OP posts:
AsTheLightFades · 02/01/2025 22:22

Oh, apologies, I did not know you were the thread police. Please do go ahead and 'put this thread to bed'.

Mrsbloggz · 02/01/2025 23:16

AsTheLightFades · 02/01/2025 22:09

And you must be a z enthusiast or someone who uses American English rather then English English

Edited

As it happens I am a speech typing enthusiast and that were wot that there google done spat out.

RedDeadReflection · 03/01/2025 09:01

AsTheLightFades · 02/01/2025 22:22

Oh, apologies, I did not know you were the thread police. Please do go ahead and 'put this thread to bed'.

Ironic when you've just told someone to go away. Must be a member of the thread police too.

Feel free to stay as long as you like, getting real "can't get drunk auntie Jean off the dance floor, she's embarrassing herself and the venue is closing" vibes.

OP posts:
AsTheLightFades · 03/01/2025 09:05

RedDeadReflection · 03/01/2025 09:01

Ironic when you've just told someone to go away. Must be a member of the thread police too.

Feel free to stay as long as you like, getting real "can't get drunk auntie Jean off the dance floor, she's embarrassing herself and the venue is closing" vibes.

Vibes? How very 1970s

RedDeadReflection · 03/01/2025 09:30

AsTheLightFades · 03/01/2025 09:05

Vibes? How very 1970s

Spoken like someone who must not be in touch with anyone under 40. It's a vibe, love 😉

OP posts:
Catapaulting · 03/01/2025 19:18

AsTheLightFades · 03/01/2025 09:05

Vibes? How very 1970s

Vibes is back. Big time.

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