Hi @justinl and welcome. I don't fully understand your health system over there, but I do understand that Health Insurance is worth having, if you can. Having said that, having Secondary Progressive MS (SPMS) is a bit of a double-edged sword. On the one hand, it's good as there are no recognised Disease Modifying Therapies (DMTs) available for SPMS, so you're not missing out. On the other hand, SPMS is a progressive condition. But, there again, all MS variants are progressive. We just have to try and live as healthily as we can, ensuring we have a healthy, balanced diet and a "low impact" lifestyle. And, Importantly, we need to avoid or manage stressful situations. We all understand your feelings and the problems that you face. But, unfortunately, the general public has a marked lack of awareness of MS and its impacts.

Hello @justinl, welcome to Shift. It’s a great forum for making connections, seeking advice and asking questions. Oh, and occasionally ranting and raving! You could check the members map to see if there are others from Florida on here. Lots from the US. The thing about MS is that it can be an isolating and lonely disease, even if you’re in the middle of a crowd of people. So, you’re in good company and you’re definitely not alone x