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I think the debate in that is passive vs active rather than just using technology. If the Hoover Dam were to become inoperable, would residents of Las Vegas be able to survive? And if it’s questionable what does aid, or worse a middle of the desert mass evacuation, even consist of? And this avoids even discussing current residents who in the face of increasing temperatures and energy prices may not be able to keep up with cooling needs.
The real truth of what happens is substantially more complicated due to America being made of 50 states. The medical debt numbers are highly debatable (Related Snopes) and do not account for Regional differences. In some states such as New York there are catchalls/emergency funding so that usually anyone making below low six figures can get their bills paid. Other states make collections difficult such as New Jersey not allowing reporting to credit agencies, making ignoring a debt kind of a non-issue. Then there are states such as Florida that require the barest of insurance to keep rates low and provide no patient protections, so when an accident does occur out of pocket costs can be huge as your insurance covers nothing. In all these events the Hospital assumes that big pocket insurance is paying first so they break out the expensive menu, when they realize they can’t get blood from a stone they are grateful if you cover their wholesale price.