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Couple left with $200k bill after baby born in US
(www.bbc.co.uk)
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And that’s basically it!
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.