Americans are not getting any richer. And hospitals continue to realize it.

Kay Wagner, the director of patient access at St. Vincent Healthcare in Billings, MT, said fewer people are able to make payments at her facility.

"They have fewer dollars in the bank for emergencies," Wagner told the Billings Gazette. "People used to come in and say, 'I can pay this off in a year' or 'I can pay you $50 a month.' They can't do it anymore."

To read the full story in the Billings Gazette, click here.