They didn't bother to get health insurance, which is why Barack Obama is going to tax those who can't even afford a home so these people can keep theirs.
All right - I watched the video. A few thing jumped out at me. I thought it might be huge medical expenses (heart surgery, liver transplant, etc.) but it the wife has arthritis. Not fun, but not the bank-breaking health issue I thought of. Of course arthritis is pretty common at that age so it targets more viewers.
I also wonder where the eight children are in all of this? I know we all want to be self-sufficient, but I know lots of folks that take care of their parents, live in the same house, etc. I would hope that their family is helping them out.