However, to what extent is this lifestyle necessary as an artist? A common piece of advice for many artists is to consider developing a steady career independent of one's art, which lets them afford their lifestyle as an artist (such as by writing, creating artwork, or performing during the evenings and weekends). But the effectiveness of this advice must vary for the individual: it's also common for many people to drop their artwork or stop taking it seriously in favour of their paying career.
For this artist in particular, I wonder if a steady job would have been a positive or negative to his art. In this case, the income would have reduced his suffering especially as he's dealing with medical debt. It could have even granted him additional artistic freedom, as he writes about the pressures to "defect" and his acceptance of more commercial work for money. Yet at the same time, it's possible that part of the desperation is behind his drive as an artist—though it's also risky to romanticize this desperation.