I'm sorry to hear about your situation - I'm in a somewhat similar financial position myself - but people are people, and in any income bracket there are things to be concerned about.

For you and me, it's getting enough money to eat. For someone else, it is affording a Switch. For others, it's the rise in the price of caviar forcing them into cheaper options.

Interestingly enough, all of this causes a significant amount of stress, and should you eventually get more money to spare, then after a brief euphoria you'll have the same worries about Switch prices and other things you don't seem to care about now.

In any case, I wish you all the best and hope you'll find your way out of a situation. Hope your spouse gets the surgery and becomes able to work, you have your teeth, and everyone lives a bit happier going forward.