The statement refers to the healthcare system and the people who are responsible for making it unaffordable. By saying that she can't afford to fall sick, Hygeia is expressing her frustration at the fact that healthcare is still too expensive for her, despite efforts to make it more affordable. She is essentially saying that it is too expensive for her to get the treatment she needs. The statement could refer to any group of people who are unable to afford healthcare, such as the poor or the elderly.
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