"Boy, you gotta be real sick to get this much attention"

This quote by Michael Landon suggests that it takes a lot of disease to receive a great deal of attention. He is likely describing the truth that individuals frequently don't focus on their health up until they become very ill. He is suggesting that it takes a major health problem to get people to take notice and to take action. This could be translated as a warning to take care of one's health prior to it becomes a major concern. It might also be translated as a pointer to be grateful for good health and to take the essential actions to keep it. In either case, the quote is a tip to take care of one's health and to be mindful of the repercussions of overlooking it.