That’s easy, buy the insulin. There is probably a $20 copay for Fed BC/BS. Then call your mortgage company and tell them you will send what you can, and will make it up next month.
Someone playing it that close is used to juggling their bills.
Sounds like someone doesn't know how to make good decisions. 38 years anywhere should set them with a decent paycheck.
Of course, this is assuming that the article is even remotely true. More likely that the subject is a figment of the author's imagination.