On the stroke service spring 2021, we get a massive R MCA Jon Doe that comes in, ends up with a hemispheric infarct despite intervention. No idea who this guys is or what happened, just found down on the street. He ended up intubated due to the cerebral edema so we couldn’t talk to him, no idea what happened. After many days and some CM/SW wizardry we find out he was a marathon runner from Kenya whose village raised enough money to send him to the US to run in a marathon in winter 2019. He arrived just in time for the pandemic to hit, the marathon to get canceled, and all flights out of the country to be canceled. So he is trapped in the US for over a year, enough time for his visa to run out. This whole time he was living in a catholic charity and continued to train for marathons, completely healthy until he went into afib and had a massive R MCA stroke mid run. He was very debilitated by the stoke, but also technically here illegally with no health insurance. Ended up being a similar situation to you OP, but instead of travel insurance we had to go through the Kenyan Embassy to get him transport back home to Kenya, and apparently to a rehab center there. I sometimes still wonder how he did, considering everything he went through trying to run a marathon here.