A mother of two children in Black Hawk, South Dakota, Sarah was unable to afford the high premium for her employer-sponsored health insurance so she had to go without coverage for herself. A few months after declining coverage, she started having health issues that led to a diabetes diagnosis and ongoing treatment for a painful skin lesion. Without insurance, she racked up medical bills as she tried to balance her own health care while prioritizing her two children. While Sarah’s health issues and the impacts of the medical debt she incurred while uninsured are ongoing, she was fortunately able to secure private health insurance coverage since the documentary was filmed.n.