He is 62; his wife is 55.

He lost much of his hearing from years of working in a noisy factory. Meanwhile, she has a rare liver disease and is awaiting a transplant. He provides care in the home and takes her to all of her doctors' appointments, some of which are out of state.

"He works really hard, but it's taking a big toll on him," their caseworker said.

The couple has children and other family members nearby who try to help out when they can. But they can't help out financially.

The couple lives on $763 a month he takes in from workers' compensation and $356 they receive in Supplemental Security Income. They make payments on their home and their lot.

They own their own car, but the gas needed to go to all the medical appointments is costly.

The have Medicaid, but it does not cover all of their medical expenses, including some of the medications she must take.

A hearing aid would help him tend to his wife. But hearing aids are not covered by Medicaid, and his wife's many needs come first.

Source: http://www.dailymail.com/news/Neediest+Cases/2005113022/