Many celebrities seem to have Lyme disease for several reasons. First, their lifestyle often involves spending time in outdoor areas like wooded or grassy places where ticks carrying Lyme disease are more common. Many celebrities engage in leisure activities such as hiking, horseback riding, or living in large homes with natural tick habitats. Second, their wealth and access to top medical care mean they are more likely to get tested and diagnosed accurately, unlike many people who might be misdiagnosed or undiagnosed. Lastly, increased awareness and publicity from celebrities sharing their struggles make it appear more common among the famous. Lyme disease is actually quite common in the U.S., with over 400,000 cases diagnosed annually, so the number of celebrity cases is a visibility effect rather than an indication they are uniquely prone to it. Climate change and globalization also contribute to the wider spread of ticks, making Lyme disease more of a global issue now.