Fat had gone to the county hospital in the first place because he didn’t have the money to be taken to a private hospital. So now he had learned something else about being crazy: not only does it get you locked up, but it costs you a lot of money. They can bill you for being crazy and if you don’t pay or can’t pay they can sue you, and if a court judgment is issued against you and you fail to comply, they can lock you up again, as being in contempt of court.