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It’ll also wreck your credit, and if you’re unlucky they’ll sell your debt off to debt collectors to harass you and your family. Even if they’ve died. And then the truly desperate will sometimes commit heath insurance fraud making the system even more immensely fucked for everyone except for the hospitals and insurance companies
The big story in my city a while back was a shitty debt collector that stole money from a guy's bank account.
https://www.kgw.com/article/news/investigations/debt-collector-wrongly-wiped-out-bank-account/283-01681963-8fe0-4b44-a57f-c076e4521b22
it's relatively common for some hospital systems to sue patients for non-payment if their bills are high enough.
I feel like a lot of people ignore collection agencies when they advise others to "just not pay." Yeah you could probably get away without paying, but you and your entire family will be harassed nonstop. There's been few things more chilling to me than a stranger calling me out of the blue with my sister's name and info telling me to get her to settle up (thankfully just a small amount).