I usually go without. After a lifetime, you get used to it. There's a million health issues I need taken care of. But its not going to happen. The one time I've been to the doctor in the past 4 years was when I ripped the tendons in my ankle. After 3 days of using our old crutches my grandma finally decided to pay for my visit out of pocket. It was only 400, but I'd never have gone otherwise.