Why did Esperanza's mama receive so little medical help for her lung disease?

Esperanza's mama received little medical help for her lung disease due to the family's financial struggles and lack of access to adequate healthcare. The family's economic situation forced them to prioritize immediate survival over seeking proper medical treatment. Additionally, the healthcare system in their community may have been inadequate, limiting their options for assistance. This reflects broader themes of social inequality and the challenges faced by marginalized communities in accessing necessary care.