I got real mad a couple years ago when my sister (I think she was 6 or 7 then?) got "__ fest" for her birthday. Basically, a whole festival, named after her. First, there was the stupid jealousy thing: growing up, for our birthdays it was a big fight that my mom staged in our defense, where we got to have up to 2 friends come over. We would either have Pizza Hut or frito pie, and I made my own birthday cake from the time I was in 4th grade on (because I liked it and wanted to), and my 2 friends would come over and we'd rent a movie and have a sleep over. That was all! Until I was in highschool and could leave on my own. With my sister, she said "I want a festival" so they gave her one: they hired people to walk around dressed like princesses. They had pony rides, cotton candy, a clown that told jokes, animal balloons, and magic tricks. They had 3 bounce houses (different sizes/shapes). Dad cooked out (burgers and hotdogs) for the whole neighborhood: something stupid like 40 adults and 50 kids. She has 2 rooms upstairs just full of junk she doesn't play with or take care of, and she refuses to donate anything (like seriously, 200 stuffed animals are ALL to "special"? b.s.!!!) Anyway: they went on and on about this party. (She also is in basketball, softball, soccer, karate, horse lessons, ballet, gymnastics, and girl scouts) at different times of the year, but from 6th grade on, I was allowed ONE out of school activity (softball in middleschool, soccer in highschool) but had to pay for it with my own money---babysitting, pulling weeds, etc). Anyway, I think it is DISGUSTING and PATHETIC for a grown woman to be jealous of her elementary age sister. But, there's the feelings. I can't control the fact that the feelings come, but I can control how I react, ya know? Anyway, all this done, and they made a big deal about how great it was. My grandma also called to tell me she spent $300 on my sister's birthday clothes, just tons of "stuff". But then my son's birthday was 2 months later. Not a gift, not a card, not a phone call. Nothing at all. That infuriated me. I waited a week until I knew I could be cool and said "Is everything ok? Is everyone ok? Nothing's wrong?" and dad's like "Why?" and I said because Joe's birthday was a week ago. "Ohhhh, yeah! I'm sorry". I was upset. Joseph wasn't, he didn't notice (young and whatever...and we didn't mention it in front of our son). He said he was going to send a check and I said "Do not send anything, it's not about a gift, it's about making a huge deal about __ and ignoring Joe". He insisted he'd send a gift and I said "If I get anything to this house postmarked this day or later, I will do return to sender on it unopened. It is NOT ABOUT THE GIFT. But I'm very upset you didn't even acknowledge him---a phone call and singing happy birthday would have been great".
Well, we've since moved much closer: 5 hours away now. We've gone to visit 7 times in 12 months. But we weren't invited for my sister's birthday party at some bounce house place (she's 4 years older than my son, I understand that). But then no card or gift in October for Joseph. We put grandpa's name on an extra gift for him. But tomorrow is Victor's birthday, and no card of gift for him either. Victor: too young to notice or care (2yrs old). It makes me mad though I know in my head that I shouldn't let it get to me. Dads can be stupid, and not too good at the grandpa thing sometimes. I don't know how we'll proceed. But I think our situation is different than yours in that my dad is wealthy and NOT ill. Your father isn't really thinking about gifts because he's sick and not wealthy. If I were in your shoes, I'd probably think it easier to stomach. At least he's THERE (even if it is out of necessity) to sing when y'all sing happy birthday, ya know? Just wanted to tell my story to let ya know you're not crazy for feeling aggravated, I know what it feels like to have your kid slighted. But.....I'd give a little pass on a sick dad with no money a lot easier than I would a healthy dad with plenty. It's not really the gift as much as him SAYING happy birthday or trying to be there (or you having the party at his house so he can see grandpa). But no, I wouldn't expect a gift AT ALL from what you've said about your dad. He's poor. And if he's getting meals on wheels, he's not dancing through the store aisles either. It's hard to get around when you're ill.