[serf]

it's not just access to healthcare, it's time, convenience, effort, whatever.

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.