Uninsured, but also people with *very* expensive medical conditions who opt for treatments that may not be covered under their insurance, or while covered, have a high co-pay. There are a LOT of cancer drugs that are insanely expensive, and many health insurances only cover them 80%. My wife’s first cancer drug was $7000 / month (20% copay would be $1400) and her second drug was $12,000 / month (copay would be $2500). You can see how this would add up *very* quickly.
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