As a Canadian it's insane to me to have a bill at all after going through some sort of health ordeal the last thing you need is a big scary bill with something to do.

if I honestly can't pay my share. I can walk into the billing office at the clinic /hospital and explain I honestly can't afford my share. The hospital will bill the insurance what they can, then look for extra funding. Most hospitals have a charity fund. It is based on my income. If I am broke and make crap wages, my share might be reduced to 0 usd.

So the ask here is for someone who already need to work every waking moment, and then just lost a bunch of hours being hurt/sick, to then spend their time explaining multiple times to the billing dept that they cant afford it (this is degrading) and then their bill MIGHT be reduced but it also MIGHT go to collections and which further goes to damage the individual by hurting their credit. just seems like a burden on the poor.

But yeah i mean its a difference in systems. I think about how canada builds it into taxes - everyone pays in at a rate consistent with their income levels and benefits similarly - but the US way is donations. And I hope that works too. It seems to work from what i've seen so far. but it seems like a round about way to get it done.