How it works: Settlement companies ask you to stop paying the credit card companies and instead, send regular payments to an escrow account. When the balance in that account has reached a sufficient level, the settlement company negotiates with the card company for a reduced, lump-sum payment. If the creditor agrees, money is sent from the escrow account. If there is not enough money in the account, a payment schedule is agreed upon.
Don’t refinance Federal loans unless you are very comfortable with your ability to repay. Think hard about the chances you won’t be able to make payments for a few months. Once you refinance student loans, you may lose flexible Federal payment options that can help you if you genuinely can’t afford the payments you have today. Check the Federal loan repayment estimator to make sure you see all the Federal options you have right now.
The most important message is to DO SOMETHING. I would encourage folks to do the reverse of taking on the larger balances first and paying more on them. Pick a smaller balance, high interest card and pay it off. This gives motivation to get the next one up the ladder in your payoff plans. For the sake of your credit score, remember length of history and pay history go together to determine your score so closing that account may actually lower your score over time. If you cannot trust yourself not to use it, close it anyway.
Some companies make use of unethical practices in order to quickly boost a person's credit score. For instance, some companies will instruct people to dispute all debt on their credit report, even accounts they know are legitimate. Since debts are removed while credit bureaus investigate, this can provide a temporary boost in a person's credit score but no long-term benefit. Some state laws, such as the Michigan Credit Services Protection Act, make this practice illegal as well.
There are many ways to get out of credit card as well as medical debt or to get help with loans. Find a list of solutions below. You can consolidate it, enter into debt reduction or credit card hardship programs, reduce the interest rates on any loans or even completely eliminate it. Most lenders are willing to offer some form of assistance to borrowers, and non-profit agencies can also assist. Various options, including some that are free, are available to help consumers reduce the amount of debt that they have.

And yes, it’s not always that simple. There are people who deal with some scary, painful, and expensive health issues in a broken system that just makes it harder. It’s all too easy to become one of them. And there are people who’ve been dealt a bad hand in other ways, by growing up in generational poverty, starting out behind, and/or being thwarted at every turn by a lack of access to the advantages others take for granted or don’t even notice.

If you have poor credit/no credit, unfortunately you won’t likely be able to qualify for many of these other options. However, there are a number of companies that specialize in helping people exactly like you. These companies are called “Debt Relief” services and are for those with over $7,500 in credit cards, medical bills, taxes, and other unsecured debts and poor/no credit. 
Both are possible solutions to problems with debt. A debt management program is not a loan. It consolidates unsecured debts and tries to lower monthly payments through reductions on interest rates and penalty fees. A debt consolidation loan is actually a loan, with interest charges and monthly payments due. With a debt consolidation loan, you would have to qualify to borrow the amount needed to pay off your debt. The interest rate is normally fixed and, depending on your credit score and history, may need to be secured with collateral like a home or car. Debt consolidation loans usually run 3-5 years.
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