The point is even if they become suspicious all they can do is seize the burner ask you a bunch of questions etc. search you, etc they can't get access to your data. You can't get in real trouble, just majorly inconvenienced.
So yeah you can be imprisoned, brought to ERs while they run up private medical bills (they told doctors I had drugs up my ass), have a search warrant executed, and then at the end of the day be chased by debt collectors for the search that turned up nothing.
(I've never done it, but I suspect you could get rid of a significant percentage of real debts like this, just on the strength of the industry's terrible record keeping practices.)
Just something I deal with every year or two, doing the process over again every time they resell it.