My neighbor works 65 hours a week. He is exhausted.
He works 25 hours at a grocery store.
He works 20 hours at a warehouse.
He works 20 hours at a fast-food joint.
He has zero health insurance. Zero 401k. Zero paid sick leave.
Why? Because every single employer caps him at "part-time" hours specifically to avoid legally having to provide benefits.
He works harder than anyone I know, but on paper, he doesn't "work enough" to deserve a doctor.