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As everyone else has confirmed - the title is incorrect, medical debt absolutely can be sent to collections
What OP likely misunderstood is the practice of validating a debt - this is not a loophole to get out of paying your debts, this is a basic legal protection to prevent malicious collection agencies from fraudulently pursuing invalid debts. When you get a bill in the mail from a collections agency you can request that the agency validate the debt, and they will have to formally provide the following information before you are required to repay the debt:
Federal Trade Commission - Consumer Advice - Debt collection FAQ
"the name of the creditor you owe it to" HIPPA Violation #1