Earlier quoted context omitted.
If you're poor you won't even officially have cancer, because no one will diagnose you, since then you'd be entitled to services. Someone who's actually been poor would understand this.
Eh, I made 75k on my IRS forms last year and don't have health insurance. The poor people I know all have way better access to treatment through medicare/medicaid and various subsidies, and all use the medical system multiple times a year while I look up videos on YouTube (thanks susan!) to learn how to perform minor surgeries on myself When my mother died of cancer (also in her 50s, still working as a public teacher…
an impoverished single-parent 4 member family will not have time to exploit whatever medical care options are made available to them. this time deficit is one of the more common characteristics that impoverished families have in common.
in a way it's similar to the healthcare problems that startup people see early in the business; 'no time for the doctor, I have meetings -- i'll live with the ulcer' , just from a different angle.
lack of opportunity for time management.