This story starts off with a man who is admitting to be sick. Although he only discusses his physical sickness, his handling of the issue along with his issue with dealing with others and opinion about life leads us to believe that he may also have a mental issue as well. He refuses to get any help with his ailment although he knows it is possible to receive some medical attention which may in turn may possibly make him better.
An article in The New York Times paper titled “Mayor of Ailing Detroit Resists Outside Takeover” is similar to that of the “Underground Man”. Detroit is suffering financially, yet Mayor Dave Bing refuses to receive any outside help and insists Detroit will somehow rebuild itself on it’s own.