it is interesting how the mainstream media assumes poor people have no agency.
https://www.cnn.com/2024/01/04/opinions/trump-replace-obamacare-health-care-2024-election-davidson/index.html
[If the cost of an inhaler or insulin did not fit their budget that month, they might end up in the emergency room with completely preventable complications. Those same cash-strapped patients would often find themselves saddled with a massive bill because of that visit to the ER. ]
There is cheap insulin available, but it might have slow response times that requires meal planning.