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(Bloomberg Politics) — Luis Lang, a 49-year-old smoker and diabetic from South Carolina, is going to go blind unless he figures out how to pay for expensive eye treatment.

Lang is a self-employed, uninsured handyman who stopped working due to his poor vision. He’s also a Republican who decided not to purchase Obamacare and prided himself on being able to pay his own medical bills, but also assumed there would be some kind of government help in the event of an emergency, the Charlotte Observer reported Tuesday. He missed the enrollment period and wouldn’t have qualified for subsidies because, since he’s not working, he makes too little money. But he still makes too much money for Medicaid, which South Carolina did not expand.

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