They can get a judgment and garnishee bank accounts, attach future income or sell the judgment to a collection agent at a discount for cash. In Washington, judgments have a ten year life and can be renewed for another ten. Superior court judgments will attach to your real property. I'm not sure about judgment law where the accident occurred but it's probably similar.
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"I didn't care what she didn't 'low--I would boogie-woogie anyhow" John Lee Hooker