"You didn't really want to join the Black Order, Suman… you chose to become an exorcist to pay a treatment for your daughter's rare disease."In countries that have little or no public health-care system, the financial cost of medical intervention or treatment can increase very rapidly. And a situation where a vital operation can't be performed because of a lack of money is just what the Rule of Drama ordered. Thus, if a story takes place in such a country (or even in countries with social security) it is not unusual for one of the characters to be motivated by a family member or friend afflicted by some rare degenerative disease. Since the doctors won't give any treatment if they are not paid cash upfront (the rarer the disease, the more expensive the treatment), this character will have no choice but to participate in some game, tournament, borrow money or simply work night and day (not ruling out sex work even for a character who otherwise wouldn't consider such a thing), anything that will earn him enough money for the treatment. Failure may result in a Missing Mom, Disappeared Dad, and the likes. Much as this trope is often a case of poor research, it can very well be Truth in Television, depending on the case. In the US at least it is illegal to deny care, even if the patient can't pay, but these laws often only apply to stabilizing a patient who needs emergency care. Some things are classed as aesthetic (fixing a cleft palate) and therefore optional, and some problems come up with organ transplants and certain pricey cancer treatments (which may or may not be deemed "experimental" treatments). Most western countries except the USA have some form of universal healthcare system which pays for most, or all, of someone's essential healthcare costs, so this trope is less likely to be used (or justified) in those countries. It is also often an optional treatment or a procedure that requires a specialized doctor to be brought in for any chance of success, skirting the law in that they're not refusing to give care because the patient is indigent, but not providing a specific kind of care. Experimental treatment that's only available in one country is also a popular justification; state or private insurance might cover the treatment itself, but probably not the plane tickets and other expenses. One also has to look at the time period involved — some of those "duty to care" laws are relatively recent, or have had poor enforcement in the past. And in some cases, hospital administrators might believe it's cheaper to pay fines than bankrupt themselves over a particularly expensive patient. Sister Trope of Billy Needs an Organ. Often overlaps with Justified Criminal when said character engages into morally dubious, illegal, if not outright criminal acts. Obviously related to Littlest Cancer Patient, Ill Girl, Incurable Cough of Death and Soap Opera Disease. See also Signed Up for the Dental for a more personal version.
"Non criminal" Examples
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Anime & Manga
- What motivates Jonouchi/Joey in Yu-Gi-Oh! for entering the Duelist Kingdom Tournament is to pay a treatment to his soon-to-be-blind little sister Shizuka/Serenity with the huge reward. Double subverted as he loses in the last round, but is still essentially given the money by another sympathetic competitor (his best friend Yugi).
- The title character of Mai-HiME tires herself out working in order to transfer her sick little brother in a hospital where he can be treated properly.
- In Hajime no Ippo, Alexander Volg Zanghief comes to Japan to earn money from professional boxing and help his ill and poor mother in Russia. Unfortunately, he fails.
- In Toriko Takimaru's motivation for retrieving the Century Soup (the MacGuffin of one arc) is to use the money he'll get for retrieving it to buy his mentor Aimaru a cure for the numerous illnesses he's been infected with (since his ability is to absorb illness, which eventually took its toll).
- The main motivation of the Takakura siblings in Mawaru-Penguindrum is to find a cure for Himari's illness after she comes back from the dead in the first episode. This goes double for Kanba, who has several shady contacts and a Deal with the Devil with Sanetoshi just to get the money for the cure.
- Subverted by Masako. Her younger brother Mario is in a similar situation, but while she accepts Sanetoshi's Deal with the Devil she later rebels against him and tries to get her other brother Kanba to do the same.
- Black Jack invokes this a few times; since Black Jack is operating illegally in the first place, he can charge any fee he likes, and some characters do indeed wind up doing things they never would have considered otherwise to pay the money.
- Suman Dark in D.Gray-Man half-heartedly became an Exorcist to pay for his daughter's treatement. When he betrays the Order to save his life and be able to see his family again, it doesn't end well for him.
- In Duel Masters, Benny Ha-ha tells one of these stories in an effort to convince Shobu to forfeit. It's a lie. (In the original version, it's a generic young girl; in the dub, it's young Mimi.)
- In Ratman, ANK Security's corporate-sponsored hero comes across as a real Jerkass, intentionally putting innocent lives at greater risk by sabotaging a sprinkler system during a fire in a crowded hotel specifically so his rescue efforts will seem more impressive. At first, he claims that heroism itself died when corporate sponsorship became typical, and boasts about basking in money and prestige. It's only later when we discover that Ankaiser's mother has steep medical bills, and both money, prestige, and how impressive his fights become are all vital to keeping his Hero Rank and corporate sponsorship going.
- O-Ren from Blade of the Immortal has been working in a brothel since she was 13 to pay for her mother's treatment. It's implied several other prostitutes are in the same boat. Giichi became a government spy to take care of his son, who dies part way through the story.
- In Neon Genesis Evangelion, the first indication the viewer gets that Toji Suzuhara is the Fourth Child is when some people are heard discussing his deciding to the pilot on the condition that his little sister gets medical treatment with NERV, and Toji is shown walking down the halls of the hospital while this is heard.
- In Muhyo and Roji, Enchu's desire to support his sick and poor mother fuels his efforts to become an Executor. This is possibly deconstructed when the committee deciding whether he or Muhyo would be promoted was concerned about his preoccupation with his sick mother. Their concerns are not entirely unfounded, as her death, combined with his being passed over, triggers his Face–Heel Turn as Teeki had planned when he killed her.
- In Full Metal Panic!, Kurz joined Mithril to pay the hospital bills of a girl who was injured in one of his old missions. More exactly, the one where he and his Evil Mentor were supposed to kill the assassins of Kurz's parents. Kurz had second thoughts when he realised the girl would be hurt, but the Evil Mentor still fired anyway.
- In Mahou Sensei Negima!, Akira and Natsumi sell themselves into slavery in the Magical World to get the medicines for an ill Ako. While she gets better soon, said meds are so expensive that she has to sell herself as well. Negi finds out and signs up at a local tournament to raise money and release them.
- The reason why Tokiko from Revolutionary Girl Utena became the local Hot Scientist was to find a cure for her little brother Mamiya. She failed, and Mamiya died in another incident. The "Mamiya" that Mikage sees is actually Anthy in disguise, as he had mentally blocked out the real one's death.
- Played with Leorio in Hunter × Hunter: introduced as greedy and money-obsessed, the man reveals he lost his childhood friend Pietro due to a treatable disease because Pietro's parents were poor. Now, he wants to become a doctor to give free healthcare to people in his friend's situation... but it turns out that becoming a doctor costs even more money, making him go to extreme ends to get funding. (He doesn't resort to crime, but he risks his life multiple times in the infamous hunter exams.)
- In Hana no Ko Lunlun, Lunlun befriends the kids of an Orphanage of Love in Southern Italy, who are looking for a treasure from World War II supposedly buried near the orphanage so they can get money for the local Ill Girl's eye operation. They find it — and it's actually a not-detonated bomb. As the police and the press arrive and everyone's eyes are on them, the desperate kids refuse to hand the bomb over even when the Ill Girl pleads with them, and Lunlun then explains the situation to the camera and begs people for donations. This works, and the girl is soon operated (and it's implied some good-hearted people are offering to adopt the children.)
- Variable Geo: Shortly after Damian discovers Satomi's latent fighting potential, The Jahana Group pressures her into entering the VG tournament by causing her brother's condition to relapse, just as he'd begun to show signs of improving. Damian offers to cover the costs of the procedure needed to treat Daisuke, in exchange for her "cooperation".
- During the Bega arc of Beyblade G Revolution it is revealed that Crusher only became a professional beyblader in order to earn money to pay for an expensive operation that his little sister Monica desperately needs. While he succeeds and Monica gets her operation, it also comes back to bite him in the ass when Boris holds this over his head as a means to manipulate him into sabotaging Tyson.
- It often was Spider-Man's motivation himself - his aunt May needs either medicine or an operation. The classic "Master Planner" story was probably the best example.
Live Action TV
- Elsie of The Yeomen of the Guard agrees to marry Fairfax prior to his execution because she needs the thousand crowns for her ill mother.
- This is one of the stock Melodramatic Hooks for Feng Shui, and often sees use with characters like Killers and Thieves (though any character type can get stuck with this).
- Buying medicine for his sister Castille is what motivates Walnut in Phantom Brave.
- Dhalsim's motivation for entering the Street Fighter tournament is to use the prize money to buy medicine for his village. The skulls he wears around his neck belong to local children who died due to lack of meds and treatment.
- In SFIV, Dhalsim's motivation isn't that different. He wants to find Seth and confront him on how a S.I.N has built a dam far upstream blocking a river that provides water (and trade, fishing, etc.) to his village. His ending shows the damn being demolished and the river being reclaimed by the happy villagers.
- Art of Fighting 2: King entered the King of Fighters to win the money she needed to fund her kid brother, Jan's, operation. While she didn't win, Ryo and Robert pooled their winnings to fund the operation for her, as thanks for helping them save Yuri the year before.
- This carried over to the King of Fighters series, which is an alternate continuity of both the Fatal Fury and Art of Fighting series. King entered the '94 tournanent to pay for Jan's operation, using her winnings in subsequent showings to pay for his continued treatment. The Women's Team '96 ending was a homage to King's AoF 2 ending, as Mai and Kasumi combined their share of the winnings to surprise her, by flying Jan to their location so she could see him.
- Dead Rising 2 sees Chuck forced into Terror Is Reality in order to earn money for his daughter's Zombrex.
- Nier needs money for Yonah's medicine... even though her disease, the Black Scrawl, is terminal. In Replicant, when he can't find enough odd jobs and quests in his village, he resorts to prostituting himself.
- In Dead or Alive 2, Gen Fu entered the DOATEC tournament to save his ill granddaughter, after hearing that the Tengu's nose was a magical cure-all. It's never said whether he succeeded, since Hayabusa was the one who slew Tengu; thus becoming the second canonical champion of the tournament. But, by the time of DOA 4, Gen Fu's granddaughter is said to have made a full recovery and all of her medical expenses are paid off, which ended his involvement in the series.
- Emitai, one of your opponents in the Contest of Champions in Breath Of Fire 3, is fighting to get money for his ill daughter's operation. Subverted when you find out he's lying about the illness - he's conning his opponents into throwing the fights out of sympathy. When you beat him, he grudgingly admits being impressed you didn't fall for it, while his wife chews him out for not being convincing enough.
- As mentioned below, in Fire Emblem Blazing Sword Dorcas starts as a bandit to earn money for the medicine his wife needs. After being steered away from it and joining Lyndis's group, he switches to the non-criminal motivation, and in either Eliwood's or Hector's routes he and his best friend Bartre join the troops to earn the money they still are in need of. If Dorcas makes it to the end, he gets said money and meds, and Natalie starts recovering soon.
- Advanced V.G.: Unlike her later OVA portrayal, Satomi's motivation in the game itself involves no blackmail whatsoever. She joins the tournament of her own free will in hopes of winning the prize money for her brother's treatment.
- Gruga in Arc the Lad 2 enters the tournament to win the money to pay to cure his adopted daughter's blindness.
- Sparrowson's hospitalization over eating a poisoned wrapper in case 2 of Aviary Attorney leads to a very dismaying bill, but a doctor offers to lower it if he can get a successful inventor to finally pay a bill he has due.
- In Zero Time Dilemma, Carlos signs up to participate in the experiment that leads to the events of the game because he wants the five hundred thousand dollar reward for his sister's medical care.
- In My Little Pony: Friendship Is Magic Applejack wants to go to the Grand Galloping Gala to set up shop there and raise enough money to, among other things, buy a new hip for Granny Smith.
- In the Jem and the Holograms 3-parter "Starbright", the band initially wants to pull out of the titular film project when their rivals The Misfits become part of it and start jockeying for focus. At the end of part one, however, Jerrica (Jem's true identity) learns that one of the Starlight House's foster girls, Ba Nee, is going blind and an expensive operation is needed to restore her sight. Leaving the film would mean missing out on making the money that could pay for it, so for the girl's sake, Jem and the Holograms stay on. Even when the Troubled Production splits the project into rival films, the good guys soldier on and the end result is a box-office success that saves Ba Nee.
"Illegal activity" examples
Anime and Manga
- One episode of Samurai Champloo has a person who steals to get money to pay for medicine for his ailing mother.
- Also happons in Cowboy Bebop, of which Samurai Champloo is something of a Spiritual Successor. It ends just as badly for the thieves, although at least here they were actually able to get the cure for one of the thieves's blind sister, so their death wasn't totally in vain.
- Shanalua Mullen of Mobile Suit Gundam AGE has a young sister with an unspecified illness that requires hospitalization and very expensive care, so she takes a very lucrative offer to spy on her own comrades for Vagan.
- In Hana no Ko Lunlun, this was the motivation behind the lockpick Dario's Dark and Troubled Past in the Italy arc. He needed money for his son's medicine and the local bank robbers offered him a part of the money to be stolen in exchange for him using his lockpicking skills for their benefit. It backfired horribly: they got caught, Dario barely escaped but became a fugitive, and for worse his kid died.
- In Weiß Kreuz, it's revealed early on that the reason Ran "Aya" Fujimiya became an assassin, and takes any job he's given (even though they are given the option to refuse jobs they don't like), is because his little sister Aya-chan is in a coma after an accident (which turns out to not have been it), and he took up the work to pay for her medical bills. She wakes up and recovers later.
- In Mawaru-Penguindrum, the aforementioned Kanba becomes increasingly involved with the Takakura family's illegal terrorist group in order to use their connections to gather money to pay for Himari's treatment. By the end, he's even personally ordering hits on people who Know Too Much and outright seems to be the group's leader. However, this is very much played as an awful, corrupting thing on him, and both Himari and Shouma want him to stop. In the end, he goes the Redemption Equals Death way.
- This was the motivation given by the Vulture once for robbing a bank, to pay for his granddaughter's operation. Spider-Man brings him in anyway but gives the money to the girl's mother. (The bank manager was apparently an asshole, so it all works out fine.)
- In Ultimate X-Men, the conjoined twin mutant brothers calling themselves Syndicate rob a bank that Xavier happened to be visiting and hold everyone there hostage because they are trying to pay for their little sister's operation. Xavier uses his powers to fake their deaths at the hands of the police and recruits them as his personal spies in exchange for paying for their sister's treatment.
- Booster Gold was originally a college football star from a poor family; in most versions of the story, his mother became seriously ill and Booster started betting on and throwing his games in order to get the money for her treatment.
- The Mirror Master in one issue of the Justice League Unlimited spinoff comic is trying to raise the money for an operation for his wheelchair-bound son. At one point, he holds illusionary people hostage and demands a ransom of exactly the amount he needs.
- In NYX, Felon often uses his powers for shady jobs in order to raise money to get his severely autistic brother, Lil' Bro, out of District X and into a school where he can get the care he needs. He ultimately takes on New York pimp Zebra Daddy's job to track down a runaway prostitute. When Zebra Daddy decides to kill X and everyone else involved, it results in a Heel–Face Turn.
- The Dark Knight Returns: A general supplies military weapon to criminals to pay for his wife's cancer treatment and commits suicide when Batman finds him.
- Street Angel: Angela's mother's severe illness makes her resort to prostitution.
- Clara Bow becomes a Streetwalker in Call Her Savage so she can buy medicine for her baby.
- The whole premise of John Q., a (rather Anvilicious for many) critic of the American health-care system. After failing to earn enough money to operate his son Michael, John Quincy Archibald Takes A Third Option and takes the hospital hostage, demanding a free treatment and brewing a Thanatos Gambit to get himself killed and donate his own heart to his kid. Even when John is eventually subdued, Michael is saved and it's strongly implied that John will leave jail rather soo, probably due to his desperate circumstances.
- Dog Day Afternoon. One of the reasons that Sonny robbed the bank was to get money to pay for a friend's sex change operation.
- Catch That Kid. A group of children rob a high-security bank to pay for surgery for the father of one of the kids.
- Sympathy for Mr. Vengeance has the main character kidnap a child for ransom in order to pay for a kidney transplant for his sister. It goes to hell from there.
- In Spider-Man 3, Flint Marko aka Sandman steals to pay for medical treatment for his critically ill daughter, Penny.
- The French film Yamakasi has this for a premise. A small boy gets hurt trying to imitate the famous Parkour group and needs very expensive surgery which his family is too poor to afford. So the Yamakasi decide to apologize to the family by robbing some very rich people and paying for the surgery, doing awesome stunts in the process. A most blatant example of They Just Didn't Care since in the French healthcare system you need not go to such extreme lengths to get a treatment.
- The title character of The Killer takes on a final assassination job in order to pay for the corneal surgery of a woman who he accidentally blinded in the movie's first shootout. The plot ensues when his handler's boss, Wong Hoi, decides to take out a Contract on the Hitman rather than pay him.
- Andrew from the film Chronicle commits robbery to pay for his cancer stricken mother's medication.
- Johnny, of Johnny Dangerously, became the famous gangster that he is to pay for his mother's increasingly high medical bills (the more money Johnny acquires, the higher the price the doctor charges...)
- In Dirty Work, the protagonists start their revenge business to raise the $50,000 a gambling addict doctor needs to pay off his bookies so he will be alive to operate on the father of one of the protagonists (who turns out to be the father of the other protagonist too).
- This is a driving factor in Film/Elysium. Max has been exposed to lethal levels of radiation because of his employer's negligence, and his girlfriend's daughter is dying of cancer. He agrees to commit a dangerous robbery in order to pay for his ticket to the titular space station, where magical machines that can heal anything are freely available.
- There's a whole season arc of Friday Night Lights around this—Mindy's pregnancy isn't going well, but lacking health insurance, Billy can't afford to get her hospitalized and ensure she and the baby are stable. So what does he do? He starts stripping cars for money.
- Psych subverts this: One episode was centered around a sufferer of Van Wilder's Disease, a disease that required regular blood transfusions. Naturally, the murderer had no health insurance and a rare blood type, so he killed people for their blood and robbed blood banks for his own healthcare.
- Flashpoint episode "Thicker Than Blood". A man's son has leukemia. He robs a credit union in order to get enough money to pay for his son's bone marrow transplant.
- Also in the episode "First in Line", a man is informed by his hospital that that a donor heart is available for his dying daughter, only to discover the heart will be given to someone else because of a mix-up. He takes a hospital wing hostage, demanding that his daughter receive the transplant.
- Subverted by Breaking Bad. Walter ostensibly gets into the meth trade in order to help pay for first his and later, Hank's medical care and provide for his family after he's gone. However, very early in the series some wealthy friends offer him a well-paying job with excellent health insurance and then to pay his bills outright, both of which he refuses out of pride. Although he continues to use this as an excuse, both to himself and others, it quickly becomes clear to the audience that his real reasons are less noble.
- Subverted by Roy Harper, who spins a tale of a sick relative to explain why he turned to crime when Thea confronts him over a stolen bag. After returning the bag (emptied of its cash), he tells her not to believe everything she hears from guys like him, winks, and closes the door in her face.
- Played straight in the episode "Time of Death"; wanting to pay for a medical treatment for his dying sister is what motivates William Tockman (the Clock King) into committing a series of bank robberies.
- There is an episode of Tales from the Crypt where a man who is an artist has been killing people to paint their death scenes. His significant other discovers this and is badly injured trying to get away - at the hospital, he finds out that she can only be saved by an extremely expensive specialist, so he goes out to the parking lot and kills someone so he can sell the painting for the money to pay. The person he killed was the specialist, so it didn't matter anyway.
- This is Rowd's motivation in Suikoden II to join the ranks of The Caligula Luca Blight's Quirky Miniboss Squad.
- Fire Emblem
- In Fire Emblem: The Blazing Sword'', Dorcas joins up with a group of bandits to earn money the medicine his Ill Girl wife needs. Fortunately, Lyn is there to straighten him out.
- In Radiant Dawn, Heather steals medicine for her mom.
- In Fire Emblem Awakening, Holland joins some bandits to get enough money to take care of his heavily pregnant wife. The player must keep the guy alive to recruit a certain girl who is also press-ganged by the bandits, and whom he struck a friendship of sorts with: Cordelia's Kid from the Future, Severa.
- Awakening also lampshades the trope for laughs in one of the Outrealm missions: einjerhar Caeda tries to recruit one of the party members by asking if they're trying to support an ill mother and offering gold for medicine. This is actually a direct reference to Shadow Dragon, where she asks the same question of recruitable character Roger; he's not (his parents having long since passed), but just having someone care about him is enough for him to change sides.
- In Soryu's sequel route in Kissed by the Baddest Bidder, this turns out to be the reason that Kyoichiro turned against the Ice Dragons: his mother is critically ill and he needs a large amount of money to pay the only doctor who might be able to cure her. When he finds out, Soryu blames himself for not realizing that one of his men was in that kind of need, since if he had known he would simply have paid for the doctor himself. Which is precisely what he and Eisuke proceed to do.
- This is how a rape is "commissioned" in Concession. Ironically, the ill girl dies that very night.
- In one storyarc of Jack, a man becomes the assistant of a doctor who is working on inventing a new treatment that could potentially cure the man's wife's terminal illness. Then he discovers the doctor molesting the children he is using for his "clinical trials". The man agrees to keep quiet because he wants to save his wife. In a bit of karmic backlash, his wife is horrified when the man admits the truth and the stress kills her. The man has to endure Purgatory and at least one more life filled with hardship and pain before he can be reunited with her. In fact this is why the doctor chose him to be his assistant. Someone who didn't have this kind of motivation would have reported him in a heartbeat.
- Subverted in Latchkey Kingdom, where Willa's kidnapper is quick to add that the "operation" is not of the medical sort.
Jane: This is just a job to me. I'm only doing it because my mom needs money for her operation. (next panel) Well it's more of a scheme really. She swears she just needs H⃒500 to crack the Shadowwood cluck cluck races wide open.
- The Simpsons: When Mr. Burns and several other employers decided to cancel their health plans, some people (Flanders included, to see how serious it was) decided to break the law to obtain medicine. It's different from most (if not all) other criminal examples is that the crime wasn't to get money to buy remedies but to bring the remedies themselves. They smuggled them from Canada.
- The Avengers: Earth's Mightiest Heroes!: Long before Scott Lang became the second Ant-Man, he helped crime boss Crossfire rob banks to pay for the medical treatment of Scott's daughter, Ill Girl Cassie.
- In Mutant League, an old friend and former teammate of Bones' father is being blackmailed by Zalgor Prig for throwing a game. When Bones asks him why he did it, the guy explains that he had a wife once, and he was offered money for her treatment in exchange for a few bad plays. But the money was too little, too late, and she died anyway.
- Family Guy example when they already received healthcare, but in debt. Joe Swanson has trouble with his medical bills resorting to a loan shark after Bonnie finally gave birth. He, Peter, Quagmire, and Cleveland attempt rob Carter's vault as their final act of desperation.
- In 1969, psychologist Lawrence Kohlberg studied moral reasoning by presenting his subjects with a series of stories dealing with moral dilemmas and asking them if the people in the stories should (or shouldn't) have taken the actions they did and why. The most famous of these stories concerns a man whose wife desperately needs a drug which a local pharmacist has developed. However, the pharmacist is trying to make money off the drug and is charging far more for it than it costs to make. In the end, the man, having failed to obtain the drug through legitimate means, breaks into the pharmacy and steals the drug.