You can’t immigrate out of the US

True. That’s called emigration. Immigration is arriving.

most other countries don’t have nearly as permissive immigrarion laws as the US, especially if you’re not a refugee.

That’s literally the opposite of reality. The US has a problem with illegal immigration because legal immigration takes years, sometimes DECADES, and costs thousands to tens of thousands of dollars.

As for refugees, the US has literally been criminalizing asylum seeking, which is a human right protected by international law that is followed by most countries, for almost a decade.

For the record, medical debt isn’t real debt. Don’t trust me, go Google around for it. Medical debt does not impact your credit score. So just don’t pay.

Fun fact: over half of American personal bankruptcies are at least partly due to medical debt.

Bankruptcy isn’t a magic reset button that lets you off the hook consequence-free (at least not for people with a net worth under $10m), and advising people to ignore debt is ignorantly irresponsible at best, malicious disinformation at worst.