I don’t have any proof; this is just speculation. It mostly seems like she brings up medical issues, and I’m thinking it could be for sympathy from her stans.
When the kids were born, she talked about how expensive the hospital charges were. Dim had hernia surgery a few years ago. J$ needed tubes in his ears, but we never heard much about that afterward. Dim getting a vasectomy wouldn’t cost as much as people think, and can be done out-patient.
After that, there wasn’t much mentioned until her and J$’s allergy tests, and then J$’s sleep study. There was also the claim about taking the kids to the doctor the same day Dim was coming home from Costa Rica.
While it might sound like a lot, this has all happened over several years. We also know (or can reasonably assume) she’s using a GLP-1, even if she hasn’t openly admitted it. If you can get a prescription and afford it, you can pay out of pocket; insurance companies are usually the ones that push back on covering it. My guess is that if she used a mail-order service like Ro or Hers and then was able to get a prescription from a doctor, she’s likely paying out of pocket.
So, either they don’t have medical insurance, or they do, and she’s just not using it for the GLP-1. I lean toward them not having it, especially if money has been tight, since insurance without employer coverage can be very expensive.