<prompt> Human: I would consider my wife and I to be living within our means. We both work and have decent jobs. Were 33 and 30 with a townhouse and a 2 year old daughter. We try to stay out of debt, and do our best to pay everything with cash. We have our monthly budget spread sheet, contribute to our retirements, and dont get caught up in the Look what I have that I cant afford! lifestyle that people our age and area seem to get lost in. We are facing an unfortunate challenge that most people might not, and thats medical bills. I wont get into much detail about that, but depending on appointments, whats needed for supplements, pills, whats coverednot covered by insurance, were putting out 300-1000 a month. For the last few months, weve been racking our brains on how we can take a vacation. We get paid biweekly, so we usually use one or two of those magical 3rd paychecks that you get every once in a while, along with some tax return money. This year, it just didnt work out the way we planned. We usually spend around 2k for a vacation. Were not looking to fly anywhere, just get away for a week. Anyone else in a similar circumstance that could offer some advice? What do you guys do in order to pay for a vacation? Any special way you save?  <response>: Do you guys have Paid Time Off, or does taking a vacation mean missing pay? 