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In this quote, Francois Rabelais is referring humorously to a common “disease” or affliction that many people experienced at the time – a lack of money. His interpretation seems to be that having insufficient financial resources was so prevalent during his era that it was almost viewed as an ailment in its own right.
Rabelais appears to be using satire to draw attention to how poverty and not having enough money to get by affected much of the population. His message conveys that lacking funds was essentially normalized and even treated as some kind of condition, rather than being seen as unusual or surprising.