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There are two ways around this:
Option 1: Fight the collection agency. They aren't tied to the government, and the reason they harass you so much is because they purchased your debt from the Hospital for something cheap like 10-25 cents on the dollar. Then they make their money by either offering you a settlement plan, or by charging the full amount. The Hospital has been paid regardless. So you can tell them "I don't care if you assumed my debt, the Hospital treated me, not you, so I'm not paying anything". Or you can really have fun with them and tell them you already paid everything in the mail. When they call back asking for the money cause they didn't recieve it, act very mad about it, don't let them intimidate you. Fuck up your credit my ass, no one fights with a pissed off consumer. There are actually legal ways around it, but I forget what they were, because this option is actually fun.
Option 2: Move to Canada and never pay for a hospital bill again, because it's covered in your taxes or something. Canadians are far superior to the USA when it comes to the important stuff.
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