Debra Smith, 57, sorts through her medical bills in her living room on Thursday, Oct. 7, 2021, in Spring Hill, Tenn. Smith, who has health problems that prevent her from working, has about $10,000 in unpaid medical bills. Patient advocates and some state governments say hospitals must do more to help patients deal with medical bills before the debt winds up in collections. (AP Photo/Mark Zaleski)
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