She is thinking about getting new knees? She can prevent this by doing moderate exercise and if she needs to, she should lose some weight. If she could make improvements in her diet - meaning adding more fresh fruit and vegetables it would also help. This doesn't have to be inevitable. I would talk to her. Don't let her shut you out. Even if she feels embarrassed, I think you need to open up the discussion. I would say, "you took care of me growing up and I am happy to be able to do something for you when you need help."
I don't know all that's involved with car repossession, but I'm assuming there's some penalties you had to pay to get her car back? Also tell her, that it would be much cheaper if she would have come to you sooner. I don't know what kind of relationship you have with your mother but you obviously care about her. I think you need to be more assertive in finding out what's going on in her financial life. Like how much $$ does she still need to pay for the medical bills etc. Talk to her about lifestyle changes. I'm in nursing school and I just did an observation at the Cath lab. (where they insert balloons and stents into clogged arteries) You know what the hospital staff calls the cath lab - it's nicknamed the CASH lab, cause the patients that roll through there want to eat whatever they want and abuse their bodies then expect the doctor to fix their bodies when it breaks down.
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