This review should get pulled. If the reviewer posted this under his real name, then he should remove it. This review will kill his reputation, which will cause more problems than anything mentioned in the review. If it's not a real name, then I imagine it's a violation. This is the only review under this user.
The review has a TLDR at the top, but my own TLDR for this review would be "I was desperate".
It's easy for me to armchair quarterback these situations, but this is the sort of reason why my parents along with most of middle-class America received medical insurance from their employers and paid into Social Security. Things happen. Most people won't set themselves up for dealing with those things. The government and employers then step in and set up a system in which hopefully will save people from not thinking ahead.
Today, more people than ever are freelancing, these safety nets are going away, people run on the edge and any bad turn is going to put them on the street. In developing nations, these safety nets may have never existed.
If employers were to Google this person, then this entire review comes up as a red flag. This is a person who is susceptible to disasters, being forced into the street and can't manage the basics of living in the modern world. When things go downhill, rational thinking goes along for the ride.
There are many reasons to avoid Freelancer and similar services. That subject has been well covered here. In this case, it's better to build networks of people who will help you out, knowing that you would do the same. Services which deal with money have to follow certain processes. If this were a smart contract, then the contract would be even less forgiving. If you want to deal with people who are going to be human and open to hearing your story and weighing your reputation, then build your community that you can reach out to. Don't put 5 years into being a drone profile on a service.