Haven't you heard, the deficit is at it's lowest level since before Obama took office:
http://www.bloomberg.com/news/2013-10-30/budget-deficit-in-u-s-narrows-to-5-year-low-on-record-revenue.html
As for the bankruptcy issue, if these people try and pay their medical bills with a credit card and then go under, they'll not be able to write off their debts since the Right forced a change a few years ago where credit card debt can no longer be part of a bankruptcy deal. You, and eventually maybe even your estate, will be responsible for those credit card charges forever.
I guess we can now add credit card debt to that old idiom about death & taxes.

OCU