On the night before last week's primary vote, one of the city's savviest political consultants sat on a bed on the 16th floor of NYU Hospital wearing a loose blue gown that kept slipping off his shoulders. Gary Tilzer didn't bother about the gown. But he was careful to keep his right foot hidden under the covers. This was to help protect it from doctors who had been urging him to have the foot removed due to urgent matters related to diabetes.
A hospital aide approached to ask if he'd changed his mind. Tilzer held up a hand as though to ward away evil. "No, no way," he said.
Generally, this is the kind of thing that happens to people who badly neglect their health. Here, Tilzer, 50, must plead guilty: "I never knew I had this diabetes until my foot got bad," he said.
He didn't know about the diabetes because he hadn't been to a doctor in years. This was a particularly bad idea because Tilzer had added to his own risk factors by being somewhat overweight. "I'm working on that," he said. But he hadn't been to a doctor, he said, because he didn't have health insurance. And he didn't have health insurance, he insisted, because he is self-employed and hasn't been able to afford it.
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