I intend to just ignore it  Seems like that has been her approach to any medical/health related issue.  Ignoring the debt makes sense to me, 15 years to pay that debt plus interest would be very aggressive for most.  She'll  be back in the hospital racking up even more debt long before she ever pays this debt off, then she'll die and the hospital will take whatever they want out of her estate. She's trying to kill herself the slow way as fast as possible and you can't give your money to kfc if you're paying the hospital back for keeping you alive