Sometimes no matter how hard she tried, there were tough choices to be made-choices between her heart pills and paying the mortgage, her diabetic pills or electricity in her home, her blood pressure pills or food on the table, her cholesterol pills or the phone bill. Somehow, however, with careful budgeting, Dr. Rosen's good will, and the grace of God, she managed to get by, except on those days when the mailman brought another agency collection notice. When those bad moments occurred, she mailed a small payment to get the agency off her back, and she would firmly inform her heart, diabetes, blood pressure and cholesterol that they would have to simply make do with a little less that day.