My next door neighbour and close family friend (when I used to live in the states) had a freak accident and required a heart transplant.
The cost of the transplant surgery and all related medical expenses would have put his family into astronomical medical debt for the foreseeable future. He opted to just die and donate the rest of his organs instead of putting his entire family in debt forever.
He left behind a wife, a daughter, and a special needs grandchild who him and his wife were raising because their daughter had some drug problems.
It was a state with filial responsibility so he was concerned that his daughter would be held liable for the unpaid dues. This was in 2002.