 [ Symptoms ] millions without insurance among millions of middle class americans i have checked insurance plans up and down yes even the affordable health care site and cannot afford them nor qualify for subsidies yes we have checked we make too much for help and not enough to afford it alone have not seen a doctor in 5yrs and had gynelogical problems for more than 20 yrs i am 44 with no children now what [ Disease ] there is something called as ig m if ig g and ig m are both elevated along with deranged levels of alkaline phosphatase sgot and sgpt then they signify some active infection at present before jumping to conclusion i would suggest you to get these tests done to see if these elevated levels have any clinical significance in your age thanks