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As the epicenter of the COVID-19 pandemic shifted to the U.S. with a quarter of the world s confirmed cases the fear of economic collapse was palpable. Many Americans got free tests, only to be hit later with surprise bills. Hundreds of thousands died; hundreds of thousands were hospitalized. For survivors, they may pay annual salaries worth of bills; for those who died, their families do not get a funeral. Instead, they will get a visit from one of the country s ruthless collection hound dogs.
A bombshell report in
JAMA on lawsuits and wage garnishments by hospitals for unpaid medical bills in Virginia refueled discussions surrounding medical debt. As I looked closer at this issue in my own state of Maryland, I learned how hospitals got lured into the business of suing their patients after caring for them. According to the Maryland Judiciary s public case records, in 2018-2019, nearly 16,000 people had been sued in Maryland, and half of them by the