I have done all the things you have suggested. I have decided what is important to me. I am not willing to give up everything I like and enjoy, including food, and this is the life I want to live. IF it is shorter, so be it. There is always a trade-off. I see no purpose in being miserable (and hungry) for the next twenty or thirty years. I would rather live well (by my own standards) and be happy for a shorter time. There are no further changes I want to make. I am not going to commit myself to a life of horrid vegetables, fake cheese and faux meats; I doubt I could even keep them down. I am not giving up, but I am making the life choices that make the most sense to me. You have made different choices, and I respect that. Please honor my choices as well. I recently took on a new position at the same university. I love my new job and see no reason to change. Unfortunately, we don't have any other affordable choices for healthcare. The most typical comment about the HMO is that it is great - as long as you don't need them to provide actual health care.