This is true--I've been continually surprised how little Lou knows about what happens to noncompliant diabetics, and about the specifics of the man dying slowly of ESRD under his roof. Then again look at the Plural Arc. Lou clearly paid (a dumbass version of) attention to other plural furries, in order to deploy it himself. Disability is the Gagliardi family business and Lou clearly never planned to work; obviously his mom hasn't coached him hard enough to develop "back pain," but he'd learn some things just by growing around adults who were all in the same line of work.
Man, if Lou isn't paying attention to his mom on general principle, he's going to regret it. Not much longer before Lou gets to complain about entering trans perimenopause.