I got a "final notice" debt collection letter. Can you help me understand what it means?

I had multiple breast tumors removed, and with that, loads of bills. Well I guess I over looked one. I got a 3rd and final debt collection letter.

It says "this will be our last attempt" and that they "will reccomend other remedies." if not paid.
$124 for a community hospital visit.

What does this mean? Can they take my car away (2015 nissan sentra) ? A lawsuit? I live in New York if that helps. I can't pay that bill this month.

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hunkalove · 70-79, M

States differ. Here they can't take your car. Probably the first of an endless stream of final notices. It will hurt your credit rating. Tell them you will pay it next month, whether you do or not.