I am certainly in agreement with xjcaptain. Every day I hear so many passengers with medical issues, and request the better options for free. For example, the man that just had back surgery, really needed first class. He really just needed to pay for first class then. Your medical issues are probably long term, as opposed to just happened an hour ago. Pay for the upgrades to better seating, it's worth it. As for Delta giving you exit row seats, shame on you and Delta. Exit row seating is a serious job, in case of emergency.
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