That doesn’t logically follow. People can make too much money to qualify for Medicaid, but not be able to afford their hospital bills.

Indeed, in many cases Medicaid requires you to become poor, by spending down personal assets first to pay for care, qualify for government support. (Arguably that’s the only fair way to do it. How is it fair for the government to use tax dollars to maintain the social status of a someone who was lucky enough to build up a nest egg, but unlucky enough to get cancer, where it won’t give money to someone who was unlucky enough to be born poor in the ghetto?)

Bankruptcy is a middle class concern, the concept presumes a level of credit that poor people rarely have. Medical care is often written off or billed to the government up front if you meet the criteria.

If you have employment you'll have to pay the bill. I absolutely could see that driving people into bankruptcy. If you have no or little income the government will pay your medical bills.