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Is this some kind of American problem for which I’m too European to understand?
Yup. Consider yourself fortunate.
Though it is illegal for a hospital to refuse you life threatening first aid or care. You may just go bankrupt from it later.
Ackchyually… Bikini Bottom is (probably) in the Marshall Islands which have free healthcare - mostly paid by the US at that.
Well if you want to get really technical, he’s a crab
The US has been known to spend exorbitant amounts of money to save wildlife without billing them.
Show the evidence. Show us that the US is paying a single dime to Bikini Bottom
Their money is clearly extremely based on usa currency.