You don't get out of this world alive. The healthy ones get carried out the same way the big fat ones do. I was in the hospital last year with bp issues for 4 days getting tests run. The bill was well over 30k. I have insurance so they ran every test they could think of. I left there with no advice on what to do other then see my fam doc. She upped my bp meds and that's all it took. I feel for your friend,damn shame he didn't see fit to have insurance,there's no excuse for that.