Health Affairs July 26, 2024
Editor’s Note
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Several years ago, emergency medicine doctor Luke Messac decided to do some digging into the medical debt collection practices of his employer, a health system in Rhode Island. Also a historian, Messac had gotten interested in medical debt after reading investigative reporting about aggressive debt collection practices—including suing patients and garnishing their wages—associated with both nonprofit and for-profit hospitals. He wondered if the institutions for which he worked were involved in such practices. To his surprise and dismay, he discovered they were.
This discovery set Messac down a path that...