On a walk with Adam’s dog, Casey is deep in thought about her work and walks right into an oncoming car. Although she is not seriously hurt, the incident reminds her that she can’t go to the hospital because she has no health insurance and it would be too expensive. Later, Liz and Pat Doyle come back to Iris and try to connect Casey with a writing job with health insurance, an idea she is more interested in after the accident. Casey borrows professional clothes from Muriel and meets Lynn, the head of an organization called “Families in Need.” Casey is asked to write a thank you letter to a couple who donated a refrigerator, but after 45 minutes and eight drafts written with a confusing typewriter, Casey flees the office. Despite how demeaning her work as a server can be, Casey thinks, “I never have to go back to that office on Boylston Street again and sit in uncomfortable clothes and type in a windowless room”(175). Casey asks her manager Marcus about health insurance, which turns out to be quite affordable. Three days later, Casey finally writes the final sentence of her book.