I should've said barring exceptional circumstances like medical conditions. how about now, how do you deal with the MS?

The problem is you can dump anything that doesn't meet your initial post into the 'exceptional circumstances' bucket.

For other examples from my life, my being female and homosexual aren't really issues now, but my femaleness made my stepmother disapprove of my tech interests, and my father started pressuring me to give it up as a teenager because she was more important to him. I also don't have to worry about having the crap beaten out of me anymore for being a dyke, but 15-20 years ago when I was making my career and educational decisions, I was pretty restricted in where I felt safe living.

I lucked out and have 'benign' MS, so the MS is less of an ongoing problem than the Brazilian (in the Terry Gilliamesque sense) system we have in this country for health care. My meds cost 300k+/yr for life; health insurance and care dictate a LOT of my decisions. But it blows up a lot of conventional advice. Try making 'responsible' saving/retirement planning decisions when you have no idea how long you'll be able to work.

And that's why I'm pretty sympathetic to people who are affected by circumstances beyond their control: You never know when it's going to be your turn. It benefits all of us to extend grace, lest we be the the one penniless in a hospital bed in the future.

Well I think it's reasonable to dump most of whatever isn't mentioned in conventional advice into the 'exceptional circumstances' bucket. They are anything that brings you off of the conventional happy path of normal income, normal job, normal career and life progression that isn't the result of your decisions after adulthood.

You seem intelligent - It looks like you've figured out how to compensate for the less than optimal hand that you were dealt. It's up to everyone else to figure it out as well. I have little sympathy for anyone who can't and I'd expect the same for anyone's opinion of my situation if something horrible and unforeseen were to happen to me.

There's two related, but slightly different, things that we're discussing here I think.

I think that, broadly speaking, such people do deserve sympathy from society as a whole. That is a different question as to whether or not they deserve your particular sympathy or attention. Much like how I agree that fire fighters are a good idea, but would look at you as though you were brain damaged if you suggested I run in and fight fires. People can be entitled to sympathy and understanding and you are also allowed to have your own boundaries, strengths, etc. (Or even just not like supporting people emotionally. That's fine.) Or hell, maybe this topic is just boring to you and you're sick of it taking over everything. That's also understandable.

> I'd expect the same for anyone's opinion of my situation if something horrible and unforeseen were to happen to me.

I don't often tell people their views of themselves are wrong (because how the hell would I know?), but this made me wince, because it's like talking to myself 10 years ago. It's one thing to say this, it's another when it actually happens.

I'll also submit that it's easy to say that about yourself, but it's going to be much harder if it's say, something horrible and unforeseen happening to (for example) your child or spouse. Basically, life is a giant game of Russian Roulette, and while some of us have guns with more bullets in the chamber, nobody has zero.