You have more options than you may think. You are not stuck in any particular job or health status. You can change your circumstances by making new, improved, high quality decisions. You have the resources within you to set a new course for the rest of your life. Allow THAT mindset to trickle down to the rest of your family and friends!
Step up and take responsibility for yourself. The government will not save you. Socialized health care (disease care) will not solve your personal health problems.
"The future, after all, is what we make of it. And those with the brightest minds and the deepest determination hold most of the power in shaping our collective future."
The best way to have a bright future is to accept the reality of what's coming (whatever that may be), and then prepare for a more challenging future. By preparing for big changes, you can turn a potentially negative situation into a positive opportunity.