This debt is for $230 from an emergency room visit 3 years ago. They reported the debt to the credit bureau about a year ago. My credit took a negative hit at first but has since gone up and is in good standing. My credit is perfect other than that debt. Now the collection agency is calling again and I am wandering if I should even pay it? It already hit my credit score... what else can they do? It is accruing interest so it has gone up like$30. But I'm wandering what will happen to the debt if I don't pay it? Can they/will they come after me 10 years from now when the debt has substantially gone up due to interest?