Probably not for much longer.
The ACA already gives them power to take money out of your bank account (without your permission) to pay your medical bills.
Moderately affluent business couple.
Lady reported to the ED with Appendicitis. Husband had Cholecystectomy (Gallbladder Surgery) 6 months previously. He'd stiffed the hospital. Not one dollar of payment. As they were in OR holding, we were told there was an "Administrative Glitch" and the business office needed to converse with the husband. No other details.
I'd never encountered that. Husband conversed with the business office. Apparently schmoozed them. Returned and pulled the curtain (which he must have perceived as soundproof).
Proceeded to tell wife that "those dumb sh*ts were after money for my gallbladder. F*ck them . . . . ha ha ha." Wife chuckled too. Then he told her he'd just confirmed he'd landed 6 Bobcats season tickets, seats 2nd row behind the visitors bench.
I pulled the curtain, explained it wasn't soundproof, and assured him we'd take great care of his wife. Both were white as sheets. We took great care of his wife.
Epilogue: Hospital was paid for the Appendectomy. No one else was.
Maybe the ACA will address that. Maybe not.