The voice actually fooled me. Did they wear a mastectomy bra or something? Because the look they presented was very convincing at least in the clip you provided on the tubes.
On the one hand, I caught some serious feels about the grandma story. (Bit of a powerlevel, but for context, I had some really shitty teachers who would not only refuse to help me understand the material by presenting it in another way, but also refused to believe in the 'tism diagnosis from U of M. I was called lazy, and constantly told to work harder. Can confirm, when you're doing the best you can and that shit gets dumped on you, it leaves some serious damage.)
On the other, 30-45k as "minimum wage" is absolutely ridiculous. Obviously, they were spending it all on the drugs and botched surgeries, but it's also a pretty common fact that hospitals will not send you to collections for things like necessary surgery, bloodwork, etc, and will also help you work out payment plans. In the US, you can let most medical bills sit or make small payments on them and still receive care if you need it during that time. Say you have outstanding medical bills for something or another and then get really sick with pneumonia or get into an accident and have to go into the ER- they're gonna treat you and make sure you live to the best of their ability. Many people think they won't, however. Which leads to stuff like this. Remillia probably knew they had too much, if it wasn't deliberate, and decided to just ride it out instead of going to the ER, and as such, have joined the statistics.