Day to day. Cash to cash. Always been this way. No insurance, no savings, no bank account. Here and now. Never seen a doctor. Suspected bone fractures and sprains were home (shack?) treated, and it shows (limping).
The no electricity thing is a recent development. Cooks on a camp stove, but has to ration out his bottles of camp stove propane. He used to have nice clothing, but now pretty much lives on old clothes that he hand washes in cold water. Apparently, the shack has a water supply of some sort. Not sure how, but he says it does. Must not be from an electric well pump.
Call it "extreme ER". In a way, he ER'd at age 25 or so. Found a few sugar mamas and lived off them or odd jobs.
From what I can tell, he'd have no problem living on SSI (something I learned about in a previous answer) when he reaches 65.