> Debt collectors can't legally go after anyone but spouses (and in some states not even that) in a case like this, unless it was the kids/grandkids that signed the hospital admissions. This does not stop unscrupulous debt collection agencies from trying however, and many people do not understand their legal rights. (Also, families can be put in the position of supporting the person who is trying to pay the debt, which is a whole other ball of wax.)
In England the debts belong to the debtor. When they die their estate pays any debts. If the estate has no money then the creditors don't get paid.
They can go after the spouse because in most states (maybe all of them) your debts are your spouses debts and vice versa.
I knew a guy in California that was gritting his teeth the entire six month waiting period for a divorce because his soon-to-be ex was maxing out her credit cards, getting more credit cards and maxing those too.
Unfortunately for her the rules change a little once you file for a divorce even if it isn't final.
In England the debts belong to the debtor. When they die their estate pays any debts. If the estate has no money then the creditors don't get paid.