In my case it's a little bit different and has nothing to do with "health issues"! If you're living in Germany, with one of the best health systems in the world, you don't fly halfway around the world to South Korea, to do a surgery because of "health issues"! So actually I am indeed in a flawless constitution and do a lot of sports to keep in shape (always been a sports maniac), which is my only leisure activity. Even wanted to become a soccer/football pro, playing in Bundesliga teams in my youth until I was 19 plus I had piano education for 12 years. And the idea for the game I got during my studies to become a teacher (subjects: sports, english) and also while being in school and having a hot female teacher, who served me as an example for Sophia. You see, many of the aspects of my life you can find in my game! Sophia's, Ellie's, Patricia's and Dylan's passion for sports and fitness. Dylan, who's a talented scorer and is dreaming of becoming a soccer/football pro in Europe. Sam's music passion and knowledge. The music taste of the protagonists. Sophia, the sports and literature teacher, which would also be my subjects as a teacher. Etc.
You don't do surgeries always because of "health issues"! It can also be another very very important reason! For example an injury in sports at a body region which only Korean surgeons have the most experience with.
And I've never been someone who liked authorities. I can't imagine to work in the office with psychopathically bosses who treats you like servants. That's why being a teacher fitted more to me. But being an independent game developer of erotic fiction seemed to be perfect for me!
But what I can agree with is the point that this kind of work can cause you "health issues" someday. Because working every day (plus having a side job), practically without any recreation, plus dealing with other important life matters, is anything but healthy! But many people don't understand this and think that if updates don't come every month, nevermind how elaborate they are, it means that the dev is lazy and is playing pocket pool the whole day!