RT Journal A1 Loxterkamp DA T1 OLd men and the sea JF JAMA JO JAMA YR 2010 FD July 7 VO 304 IS 1 SP 18 OP 19 DO 10.1001/jama.2010.902 UL http://dx.doi.org/10.1001/jama.2010.902 AB Before I could open my bag, Mel dictated the terms of our engagement: Hospitalization would be brief: he had no insurance and refused to let his illness exhaust his children's college fund. And whatever the cause, expensive tests and treatments must wait until he could purchase insurance through the window of open enrollment. It became clear that Mel had fixed ideas and that his decision to accept medical care involved a crisis of faith.