Bruce was the caddy for golfer Tom Watson. New book out about him.
So, is this how it went.....?
Doc in private practice starts him on treatment for Lyme. He doesn't get better immediately (Lyme is easy to cure, right?) or he gets worse (herx). His family and friends doubt the diagnosis. Who are you gonna believe, the guys who charged you $48K or the one who didn't?
Of course, it is possible to wait too long to start Lyme treatment. Not everyone can be pulled back from the edge, sad to say.
Bruce had no health insurance.
I have family friends who have a friend who 'has' ALS and has had it for over 10 years now.
I do not know this guy personally but have heard about him for years now.
I've talked to the couple (my family friends) about Lyme and told them to get this guy tested but they just laugh at me. They told me that Lyme must be the new 'yuppie disease' like Chronic Fatigue Syndrome was a few years ago.
Just figured you folks might want to know.
They are usually fairly cemented in by the time they get an ALS dx.
But...you DON"T have ALS for 10 years...that my friend is NOT ALS>
Trout 
PS...and, I agree...by then it MAY be TOO late anyway.