I do IT work for a medical collection agency so I overhear many of the collector's calls all day long. I have no sympathy for many of the debtors at all. I mean they received a service from the hospital and now they're trying to dodge having to pay for it. I know some of blame can be placed on the skyrocketing cost of health care but that's besides the point. You have a legal obligation, you should take care of it.