Here's a lesson on prose voice. Omission is generally a lie. Basically, when people offer a blanket it is usually bullshit.  It is "chronically ill" "because my genetics" "made me ill in my 30s, with a disease I'll never recover from." I'm thinking huntingdon's disease or CF but then "social determinants of health" (another made up term to try and sound intelligent) make it sound like... fat bitch.