The article explicitly talks about that multiple times, though. Were you reading one of the articles that this one references? It mentions repeatedly how inaccessible and unaffordable healthcare is, using both of those points, and then moves on to discuss the issue as part of a broader societal trend.

All my notes for tabletop RPG stuff, mainly! I run a few Pathfinder campaigns.

Trillium is my personal choice for self-hosted notes. I haven’t really had issues with using it on mobile, but I also just tend to put the stuff I think of when I’m out and about into a single note that I periodically go through and reorganize. It’s been good to me so far, and it has all of the features I really need. If I need something fancier (or public-facing), I toss it in BookStack instead. Then again, I don’t use either of them for business (mostly for tabletop RPG stuff and instructions to friends/family about using the other stuff I self-host), so if that’s your application, I have no clue how it holds up.