You can't immigrate out of the US, most other countries don't have nearly as permissive immigrarion laws as the US, especially if you're not a refugee.
For the record, medical debt isn't real debt. Don't trust me, go Google around for it. Medical debt does not impact your credit score. So just don't pay.
Now, if you want difficult, go be an oilman. They make shit tons of money, and for good reason.
The drc doesn't have OSHA or any equivalent. America does.