this post was submitted on 21 Feb 2026
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I'm curious, what happens if you just don't pay? What if you just go back home and never come back?
Honestly if you never go back, not much. It wouldn't even impact your credit rating, and your country likely doesn't have the means to enforce it. I could imagine you get harassed by us debt collection agencies but they can't do anything about it either. If you're never returning to the US, it's fine.
You could likely even still holiday in the USA. It won't impact your visa as it's not a criminal offence either.
I'm not a lawyer, and could be totally wrong, but I asked my dad who is also not a lawyer.
This guy is correct. IANAL.
After 7 years without any payment, most debt including medical debt and standard loans are discharged. The non-payment is key. Even sending a cent will restart the obligation to that debt
If the debt is large enough, the companies will use a myriad of tricks to keep the debt alive long after it is supposed to expire.
They are bringing back debtor's prisons in some states, those debts they sell as unrecoverable are bought by shady companies, as in Utah, that sue for them in the big city, and if the defendant doesn't show up they get a default judgement and then get the judge to hold them in contempt, and jail them. If they pay they get out right away. After they get out of jail the holder of the debt can just file for another action and contempt you again, as I understand it.
And they aren't the only state either I hear, they were one of the first to end run around the prohibition, I think case law, on debtor's prisons, over 10 years back.
Utah still has the firing squad, yeah?
They just brought back that form of execution, and it's an improvement over lethal injection as it is practiced, or the electrical chair or gas chamber.
Lethal injection could be humane, they choose not to make it so. Nothing would be more humane that a hot shot of opioids and benzodiazapemes and the like. They want them to suffer and use their other formulation that does cause pain even as it makes the person unable to show that pain, as I understand it.
The electrical chair is grotesque, as was the gas chamber as practiced that not only is disturbingly similar to nazi shit, but also operated as with the lethal injections.
So firing squad is much more humane, hanging is humane, guillotine, etc would all be better. Obviously though we can't trust the system to convict the right people so we shouldn't have the death penalty. But certain exceptions could exist, for people that would use corrupt influence to get their conviction overturned, cancelled, and do more harm, politically connected people, the super rich.
And yes, shady companies like these, are the perfect recipients of said penalty with due process as they would pay off higher ups to get it cancelled and abuse more people.
They can sue, and then try to seize your assets, at least inside the country. Most hospitals don't, but some do. Garnish your paychecks too. Not sure how that would work in another country.
ICE gonna come to get ya
I doubt any of them have passports and probably couldn't point to the UK on an atlas, so I think you'd be relatively safe.
and do what? Ensure the U.K also denounces the U.S as an ally?