Oh, and I’ll add that i’ve been self employed with no insurance or financially reasonable access to health care for almost all of the time my health was slowly deteriorating- over 18 years.

When I did see doctors, my symptoms were diagnosed as other syndromes or dismissed as something very mild. A family member who has celiac suffered from years of misdiagnosis and ineffective treatment, including surgeries, for conditions they don’t suffer from. So if I had been in the medical system all this time, it’s not clear the outcome would have been significantly better.