Insurance paid. And you are right, I do think self pay makes you a little more concious of what you are doing.
She was told not to drink soda and not drink with meals and not deliberately eat so much you puke, and when I asked her why she was doing it when told not to, she said because she was thirsty or hungry. I asked her if she knew she was going to expand her pouch that way and she said. Oh no, they didn't tell me that, I better stop it!
Yeah, DUH!! No kidding! They tell you things for a reason not just for nothing. I always thought she was a smart girl, but I guess not. If you don't know why, then ask! But you still are supposed to follow the rules they give you. They aren't made up for nothing.
As you can tell, she makes me VERY mad with her cavalier attitude about it!