He was one of those salt-of-the-earth guys from the rural part ofPennsylvania. Middle-aged, married with adult kids, he’d worked his whole life running his own small business, a local restaurant that he jokingly called a bordello. His wife worked, too, and she had health insurance, but he wasn’t on her policy. Maybe he couldn’t afford it, or he was saving money by playing the odds. After all, he’d always been healthy. And then one day he had leukemia.