Not for you to decide.
People have big toes here some times it might have well been intended as a friendly chat. Even if it wasn't, answer them and move on.
No, I don't because i don't see why i should pay for him or his family. Funny enough i can't see any of the people who claim to be so considered on the donation list.
Been to that hospital, good indeed. Live here and learned Thai so i can navigate myself and don't need to rely on my Thai family who would help if needed.