He's full of Palin.
I, too, worked for a hospital which didn't turn people away for years and years. And then came a crunch. Those things which didn't immediately threaten life and limb were difficult and impossible to get.
And the hospital did not cover the ancillary costs, for doctors, drugs, and so on. Or any OPT (Outpatient Treatment).
And eventually as the pressure grew more and more debts were turned over to collection people.
TB's righteous indignation is that of a pit bull explaining it had not killed some things. He believes it,though. There's no doubt about it.
Arf