I disagree, hospital bills, doctor bills, anesthesiologist, nursing all can and are reported to credit bureaus when considered in default. True, it is up to the hospital when to turn it over for collection or to call it in default or work it out with the patient but facts are facts.
Hospitals MAY be willing to work with people who have larger incomes on bills they deem can be paid off within a reasonable amount of time but what is their interest in a $40,000 bill to a couple that makes $40K a year? the hospital sells off the debt to collectors, takes the loss on taxes and moves on.
You have had a kid in the hospital lately yet you are lucky to have tricare and no doubt a supplement from your employer. Not everyone is so lucky. Hospital stays and sudden illness are the #1 cause of bankruptcy because the bills are typically huge.
Typically people budget for their lives during the good times with not much consideration for a catastrophe. A family of 4 can easily have their savings wiped out and be forced into bankruptcy. I make damn good change and I know I could not afford a $100,000 medical bill for Boy nor would I EVER refuse medical care based on that. Many people get caught between a rock and a hard place.
To say that the wife needs to get off her ass and get a job is about as pompous as it gets.
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First of all daycare for 5 kids would negate nearly anything she made. Second assuming that people all live by the "ItsBob's book of responsible living" and save 20% of their total income for catastrophic occurrences and anyone who doesn't is an irresponsible ####### and a blight on society is bullchit.
There are hundreds of thousands of hard working people in this country that do not suck on the nipple of the government contracts in our air conditioned offices like you and I do. They are the ones who change the tires on your BMW motorcycle and the oil in your new $10,000 lawn mower, dig ditches, put up fences and chop the lettuce in our crusted garlic shrimp salads at Applebees. I can guarantee you they don't make the coin to afford a $40K medical bill and be out of work for a couple months. How much "reserve" do YOU have handy right now?