Why is it in the USA that a personâ??s good name and credit rating is ruined for not being able to pay extreme hospital bills? Assume someone is taken to the ER via ambulance and is gravely ill, after a protracted stay in the hospital they amazingly survive, only to face bills surpassing $300,000. Before being ill they worked a full time job but had no insurance. They always paid bills on time and had excellent credit. What does the lack of ability to pay that unexpected Hospital bill have to do with their willingness to pay back a credit card bill or a car loan? They are not deadbeats; they are victims of a flawed system that allows the working poor to be fleeced. Not being able to pay a medical bill should in no way affect your credit rating in my opinion, people that max out 5 credit cards buying items they cannot afford should suffer the indignity of bad credit, not honest everyday working Americans who just happen to get sick. What do you think? I could get into the debate over the pros and cons of socialized medicine but thatâ??s not my issue here. The simple question is; does an unexpected medical bill constitute a loan? You donâ??t ask for it, and they surely didnâ??t check to see if you were able to pay it back before it was granted on your behalf, so if you have to pay it back slowly or even file bankruptcy because you cannot, should it count against your credit rating when you never agreed? If while you are on vacation a contractor pulls up to your house and renovates it without you signing a contract is there a court in the world that would hold you liable â?¦ that could hold you liable? Would they ruin your credit if you didnâ??t pay it? Food for thought. As for being responsible for yourself, the law does not allow a patient to refuse medical care (AMA) when they are endangering their own life, not only by threatening their own life, but by refusing care that a paramedic may deem neccessary to save their life. Do they still have to pay in that situation? Last bit of info. I asked this question because it hard to see people refuse the obvious care they need because it would destroy them financially too obtain treatment. I had to leave a person with his ear cut off because he could not afford it. His life was not in immediate danger so I could not force him.I guess gays getting married and flags burning are of a much higher priority than affordable healthcare and insurance for all.