[retiredcoder]

She wouldn’t take the bill as far it is concerned legally (as far as I know and dealt with medical bills myself).

She might get mails and phone calls but the collection agency will not go after her assets, well unless her dad has assets in the USA.

The story lacks some details but if she contact the hospital and negotiate based on that, they would likely reduce the bill. Is this moral or not that’s another question, but I agree that she had few options before asking people for money early on. Specially when making 200k.