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email article 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

United statesUniversity of marylandGreater baltimore medical centerUniversity of virginiaJohne lindnerDonald trumpJohns hopkinsMarty makaryMedstar georgetown university hospitalJohns hopkins health systemLifebridge healthGreater baltimore medical center healthcareJohns hopkins health system corporationMedstar healthUniversity of virginia health systemMedstar washington hospital center