Lyssa - I definitely agree with you that cutting corners to save money when it negatively impacts ones health is not a good idea if it can be avoided. However, there are a lot of ways that one can save money on the same treatment/ benefit. For example, extreme heat intolerance is one of my worst symptoms and i am able to function dramatically better in a 68 degree environment. So I can either pay the normal utility rate, or I can take advantage of the utility company program designed for people who, due to a medical condition, have above average energy needs, which gives a discount. Same benefit, but at a lower cost - which I am all for!
As far as the "real-ness" of a given disability goes, i think that if a medical condition interferes with your ability to function/ live life normally/ live as you otherwise would if you didn't have that condition, it's pretty darn real
I agree with you that attitude is important when coping with chronic illness, but I don't think that it's necessarily a black and white divide where you either dwell on your misery all the time or are 100% positive. For me, I am generally pretty positive and can do about my situation, but i can definitely admit to having the occasional pity party. I actually find that I'm doing better now from a psychological perspective allowing myself to experience and express negative emotions from time to time rather than trying to be positive 100% of the time. Again, I think that everyone is different in how they cope - focusing on gratitude doesn't work for me, but it's huge for others. But I think your general point that coping skills are valuable is very valid.
Maryofdoom and Serpentstooth - As you can see from my reply to Lyssa above, I think that the overarching idea of coping skills as a valuable tool for people with chronic illness is valid - but not so much that the 100% positivity/gratitude path is the only appropriate/ healthy way to cope. As I mentioned above, I think the occasionally pity party is actually a healthy thing, and the whole "think about the good things in your life" or "it could be worse" routes are pretty ineffective for me. My main coping skills are - 1. Finding creative ways to adapt tasks or situations that I'm not able to do. Like organizing my kitchen so that I can cook while sitting down. 2. Accepting imperfection/ limitations (always a work in progress as I naturally tend to lean towards perfectionism). Like not beating myself up over not accomplishing as much in a day as I'd planned or allowing myself a good cry every once in awhile.
Anyways, long story short, I agree that having coping skills is a great asset, but think that which coping skills (optimism, gratitude, creativity, humor, accepting imperfection, and certainly others I haven't thought of) are helpful/ beneficial is highly variable from person to person. Saying that coping skills are beneficial, at least to me, doesn't dismiss or minimize the challenge that people with disabilities face - it recognizes that coping skills are needed precisely because these challenges are so great.