Thank you all for the replies. I am experienced enough to realize my situation is not unique, maybe the details and dynamics are different, but the overall picture is very similar. The noose tightens, tunnel vision becomes even more restricted, and there does not seem to be a positive answer.

Seesaw, much like you, I am making the max (I believe) but it still isn't much. Bills are getting way behind, medicines are long gone, positivity is long vacant.