It’s a sad story, but most Americans are in hock up to their eyeballs anyway so just pay what you can afford most doctors hospitals treatment centers will accept whatever you can give them as long as you’re paying something. A couple years ago I had to go for radiation treatments. My share of the bill is $4000 and they told me pay what you can so I did. I’d send them a 50 or 100 bucks a month and I paid it off. It didn’t kill me even living on Social Security.