My wife's cousin works in billing for the local mega hospital, and she was telling us a story yesterday how she was dealing with an illegal who racked up over $200k during a stay that originated in the ER. After said illegal was denied Medicaid coverage on the bill, the hospital just wrote off the entire balance because they had no social security number so no way to do collections.

Same company that just handed off the entirety of their call center employees to some Mexican company to cut down costs.