Recently had an emergency appendectomy and I'm uninsured. Total bill is approx $22k. Have submitted application for county aid which typically pays the hospital what Medicaid pays (40-60%) and then I repay the county. Currently awaiting a subpoena from the county courthouse for my hearing (to decide how much I can reasonably be expected to pay back). Additionally saddled with student loan debt in excess of $116k. Wondering what equation the county will use to ascertain how much I can pay back, whether or not I can do anything to persuade the hospital to lower their bill prior to the subpoena and if it's possible to file for bankruptcy after receiving county aid.