The word "can't" is doing a lot of work in that sentence. The ability to afford something is often a choice. I can afford a $50 hamburger, in the sense that I could spend $50 on lunch without triggering financial catastrophe. But I refuse to pay $50 for a hamburger because it's much more than I think a burger is worth.
Judge Sean Jordan's ruling upheld the inclusion of medical debt on credit reports, thereby reversing a bipartisan effort to alleviate financial pressure from healthcare costs, affecting one-third of Americans.