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They had serious debt, tax and financial problems going back nearly 2 decades.

It wasn’t only about current expenses, though obviously they reached the end of their tether. It’s difficult to believe they could not find a better path forward. Move, downsize, regroup.

http://www.dailymail.co.uk/news/article-4739512/New-York-couple-commit-suicide-financial-spiral.html

"...But they still managed to sent their two schools to private school, at the elite Loyola School on the Upper East Side of Manhattan. Tuition at the Jesuit-run Catholic school is $8,905 for the current year. Both parents were active supporters of the school while the children attended it, taking part in organizing its annual benefit gala..."

And this:

"...They also asked their their children, 20-year-old Isabella and 19-year-old Joseph, be taken care of. Public records showed that Glenn owed about $213,000 to the federal government and nearly $42,000 to the state in unpaid taxes dating back to 2003.."

I would ask these questions:

1.) During this time frame where they owed all this money, did they eat out at nice restaurants, buy lavish gifts for each other and their children, buy new cars, and take vacations?

2.) Did they ever attempt to downsize their living arrangements?

2.) When was the onset of their medical problems?

If they didn't forego gifts to themselves and others, purchased new cars, sent their kids to private schools, stopped taking vacations, etc. then this isn't about the cost of healthcare, it is about people living beyond their means.

>>It wasn’t only about current expenses, though obviously they reached the end of their tether. It’s difficult to believe they could not find a better path forward. Move, downsize, regroup.
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NY megalomania. When the only place you can live is an armpit, fresh air is death.