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Risk analysis is different. I was dehydrated thanks to less than 24 hours without hydration and my body was fucked. I'm pretty sure forty eight would kill me. You are pretty sure that shit on your body ain't right and that you can't afford to get it checked out, much less treated. You're risking your life if you do or if you don't, so might as well go for the money. That said, if it's serious, a million bucks might not be enough in this glorious healthcare system we've got.