Just as a philosophical point, from my perspective as a health care provider, my patients racked up over $200K in uncollectable accounts receivable about 20 years ago when it got so depressing I just quit tracking it. As a practical matter, unless you owe money to a hospital that can hire a phalanx of attorneys, there is very little they can do to you to collect. In most cases of serious medical debt, $2,000 in guns being sold is little more than a symbolic gesture, unlikely to impress the entity billing you. And as far as denying you further care, a hospital can't do that. JMHO.