About 3 in 10 adults reported not taking their medicines as prescribed sooner or later between July 2022 and July 2023 due to the price, in line with a KFF survey. So, this yr, “An Arm and a Leg” requested listeners: What methods have you ever used once you’ve been struck by pharmacy sticker shock?
Dozens of listeners responded with their tales, together with Bob, who’s being recognized solely by his first title to protect his household’s privateness and whose daughter has epilepsy. When Bob modified jobs, the value tag for his daughter’s remedy went by means of the roof. On this first installment of a two-part sequence, “An Arm and a Leg” shares classes from Bob’s expertise navigating a maze of pharmacies and insurance coverage firms to get his daughter the medication she wants.
Dan Weissmann
Host and producer of “An Arm and a Leg.” Beforehand, Dan was a employees reporter for Market and Chicago’s WBEZ. His work additionally seems on All Issues Thought-about, Market, the BBC, 99 % Invisible, and Reveal, from the Middle for Investigative Reporting.
Credit
Emily Pisacreta
Producer
Claire Davenport
Producer
Adam Raymonda
Audio wizard
Ellen Weiss
Editor
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Transcript: The Prescription Drug Playbook, Half I
Notice: “An Arm and a Leg” makes use of speech-recognition software program to generate transcripts, which can comprise errors. Please use the transcript as a software however examine the corresponding audio earlier than quoting the podcast.
Dan: Hey there.
Once I inform pals that we’ve been engaged on a sequence about find out how to pay much less for prescribed drugs, I discover myself telling them a few man named Cole Schmidtknecht.
In January of final yr, Cole went to a Walgreens in Appleton, Wisconsin, to get refills on the remedy he used to manage his bronchial asthma.
He’d been taking it for years, and he anticipated to pay about seventy bucks.
However — that is all in line with a lawsuit filed by Cole’s people– the pharmacy mentioned his insurance coverage didn’t cowl his medication anymore. He’d should pay greater than 500 {dollars}.
He left with out it.
A couple of days later, he had an enormous bronchial asthma assault. He died after just a few days on life help. He was 22 years previous.
Of their lawsuit, Cole’s people say the pharmacist at Walgreens may’ve advised him proper then and there about comparable medicine his insurance coverage would’ve paid for.
That is the sort of data all of us want, all deserve.
In surveys, 1 / 4 of Individuals say they’ve skipped taking meds up to now 12 months due to price.
And perhaps we will put slightly dent in that.
As a result of there are literally a variety of issues to know, and a variety of issues– a variety of methods we will strive when it seems like our drugs is gonna price an arm and a leg.
Over the previous few months, you’ve really been serving to us study extra of those methods, and right here we’re gonna begin tying these classes collectively.
Again in February, we requested you, our listeners, to inform us the way you’ve managed when your prescriptions acquired actually costly.
And we heard again from a LOT of you.
Individual 1: We went to go choose up the prescription and we have been like, holy moly, that’s so costly.
Individual 2: We’ve been given estimates of $30,000 a dose
Individual 3: The pharmacist would burst out laughing each time I confirmed up
Dan: And … you advised us what you probably did subsequent. The methods you realized for preventing again, and typically successful.
A whole lot of these methods, we knew about. Some, we have been like, whoa, that’s a brand new one on us!
I imply, with all of this, there’s no assure that your explicit downside has a great answer.
Our entire system sucks. These are patches, workarounds.
Cole’s dad– he now works full time making an attempt to alter the entire system of how we get charged for meds. Which is a should– and is gonna be an extended haul.
However within the meantime, these patches and workarounds — actually, they’ll actually assist lots of people.
So right here’s what we’re gonna do.
We’re gonna break down what we’ve realized into chunks you may digest, and share. We’re gonna take TWO episodes of this present to do it.
And we’re NOT anticipating you to take out a pen and paper: We’re gonna share every part in writing, in our First Support Equipment e-newsletter. Together with stuff that doesn’t match on the podcast.
It’ll take 4 installments. I’m telling you, there’s lots.
In the meantime, we’re beginning right here with one man’s story– a listener named Bob.
Bob’s journey goes to assist us present you — effectively, the journey. How the trial and error works. The obstacles.
And we’ll present you the methods Bob labored to get by means of these obstacles. Together with a software he developed, that we’re gonna share with you.
And I’ve acquired some assist telling Bob’s story. Our producer Claire Davenport did many of the reporting for this episode. Hey, Claire!
Claire: Hello, Dan!
Dan: You’re gonna inform us Bob’s story, after which at some factors, we’ll zoom out — like tour guides, stating the massive classes
Claire: Yep! I’m tremendous excited to get into it.
Dan: Let’s go.
That is An Arm and a Leg, a present about why well being care prices so freaking a lot, and what we will perhaps do about it. I’m Dan Weissmann — I’m a reporter, and I like a problem. So the job we’ve chosen on this present is to take some of the enraging, terrifying, miserable elements of American life, and produce you one thing entertaining, empowering, and helpful.
Okay Claire, the place ought to we begin with Bob’s story?
Claire: First, let’s meet Bob. He’s acquired lots happening…
Bob: Between me and my spouse, we now have 5 youngsters and uh, three canine, and two cats and two lizards.
Claire: Did you ever anticipate you’d be a dad to so many, Bob: No person plans to have many youngsters, Claire.
Claire: By the best way, Bob requested us simply to make use of his first title for privateness causes. However we’ve checked out his story — he despatched us plenty of documentation.
Bob’s journey right here begins in 2019 — the primary day of highschool for his daughter, Mary.
After she acquired dwelling, he wished to listen to the way it went, so he known as her.
Bob: We have been speaking and, I’d say she’s being slightly spacey, however, uh, speaking to a 14-year-old on a cellphone, proper?
And, and I’ll always remember this, she, we have been speaking and abruptly she mentioned, the ceiling seems so humorous.
After which, um, after which she was type of gone.
Claire: At first, he assumed Mary had simply set the telephone down — perhaps to speak with one in every of her sisters.
Bob: I textual content her mother and say, Hey, I used to be speaking to our oldest daughter, and, uh, she simply type of disappeared now she’s not answering the telephone. Are you able to go examine on her?
And I nonetheless get even choked up speaking about this. However, I get a textual content again in about two minutes saying she’s unconscious.
Claire: They find yourself calling an ambulance. Bob is scared.
Bob: All types of ideas have been working by means of my thoughts by way of what may probably have occurred right here. Epilepsy was not one in every of them.
Claire: Epilepsy. It’s a situation that causes seizures. And Mary was having one whereas her dad was on the telephone together with her.
Mary and her people labored with a pediatric neurologist. They began making an attempt out completely different drugs and dosages.
Bob: We have been advised, we’re going to determine what the fitting drugs are for her. That is gonna be a course of.
Claire: And it was. It took years of trial and error: they needed to experiment with completely different drug mixtures.
Lastly they landed on the correct mix. That blend included a drug known as Clobazam. Bob: And that gave the impression to be the magic bullet
Claire: A magic bullet with an inexpensive price ticket.
Bob: the three medicine she was on have been effectively underneath 100 {dollars} for all three of them collectively
and she or he went over a yr with out a seizure.
(beat)
Bob: After which I modified jobs.
Claire: Which had an sudden consequence. As Bob realized when it was time to refill Mary’s prescription for Clobazam.
Bob was used to paying round 15 {dollars}.
Bob: This time the pharmacist comes out and says, Hey, your, your Clobazam is gonna be $500.
Claire: Okay, so…Dan, let’s take a step again. Bob modified jobs, and all of a sudden Mary’s Clobazam is $500. As a result of…
Dan: Bob’s new job meant… a brand new insurance coverage plan for the household. And…
Claire: Each insurance coverage plan has its personal listing of how a lot you pay for which medicine. And which medicine they don’t cowl in any respect. That listing is known as “the formulary.”
Dan: That listing, that formulary, is predicated partially on enterprise offers that plans and drug-makers hash out behind closed doorways.
Claire: So once you change jobs, change insurance coverage: the distinction between what’s on one formulary and what’s on the subsequent: It may be…
Dan: unpredictable at finest.
And even when you don’t change jobs, your job could change your insurance coverage plan. That occurs lots.
Claire: And even when your insurance coverage plan doesn’t change, that plan’s formulary can change from yr to yr.
Dan: So, Claire, this looks as if the primary massive lesson from Bob’s story — the primary massive impediment: The deal can change on you. And MAYBE, on this new deal, your insurance coverage presents one other drug they are saying is simply nearly as good.
Nevertheless it will not be simply nearly as good for YOU. That’s a factor.
Claire: And it was undoubtedly a factor for Bob and his daughter Mary. Bear in mind, that they had spent YEARS of trial and error, discovering the proper routine.
Simply switching to no matter random factor the insurance coverage firm approves, that’s not on the desk.
So first, Bob thinks, hey perhaps there was just a few sort of mistake right here. New insurance coverage firm, proper? Perhaps the pharmacy acquired confused. Bob calls his insurance coverage simply to ask, and so they’re like:
Bob: Oh, effectively that remedy, , is just coated for a sure sort of, of epilepsy
Claire: Which isn’t the kind they suppose Mary has. They’re not gonna cowl it. So, now we now have arrived on the level the place Bob busts out his first massive technique: Haggling together with his insurance coverage. They’ve mentioned “no,” however that doesn’t imply he has to just accept this as their remaining reply.
Dan: Yep, we heard from so many individuals — have heard through the years: This can be a entire dance, a complete combat.
Claire: Yep, and Bob’s gonna take us by means of it. The truth is, on this exact same telephone name the place his insurance coverage firm mentioned they wouldn’t cowl Mary’s Clobazam, they mainly invited him to this dance. They mentioned:
Bob: Effectively, there’s a previous authorization that may be stuffed out. We’ll ship that to your physician.
Dan: There’s a previous authorization for that! We’ll ship that to your physician!” The way in which Bob says that, it sounds just like the insurance coverage individual was so cheerful. Making issues sound really easy.
However prior authorization…
Claire: That’s a hurdle, a hoop for Bob — and Mary’s physician — to leap by means of.
Dan: This will probably be acquainted to a variety of people already, however: Prior authorization… PRIOR:
Claire: Earlier than the insurance coverage firm can pay for Mary’s Clobazam, Dan: They should AUTHORIZE it.
Claire: her physician has to make a case that she wants this explicit therapy — and the insurance coverage firm has to resolve the argument is nice sufficient.
Dan: We see it on a regular basis.
Claire: Bob isn’t thrilled by this requirement.
Bob: Appears pointless. This can be a, you understand, board licensed pediatric neurologist who’s been seeing this affected person for years.
Claire: And who took her by means of a complete lengthy trial-and-error course of to seek out the fitting meds.
Dan: Due to Bob’s confidentiality, his insurance coverage firm mentioned they couldn’t reply on to his story — truthful sufficient. However a variety of the time, Insurance coverage firms say: Hey, we’re simply discouraging waste with these prior authorizations! Typically docs do exactly prescribe an costly factor, when one thing cheaper can be simply nearly as good. Okay.
However a variety of sufferers say, like Bob would: My docs and I had already DONE all this checking.
Claire: Bob will get type despatched in, however now he’s acquired one other downside. The insurance coverage firm wants time to judge the prior authorization. And Mary wants her medicine proper now.
Bob: She begins to panic slightly little bit of like, Hey, I, I would like my remedy. If I miss a pair doses, I may have a seizure.
Dan: That’s a nasty downside.
Claire: Fortunately: Bob discovered a solution to get Mary’s Clobazam for lower than 5 hundred {dollars} per week. We’ll get into that slightly later.
However for now, simply to notice: It’s fortunate he discovered that workaround. As a result of when Bob calls to examine on the prior authorization– PA for brief– Effectively, right here’s how he says the dialog went…
Bob: ‘Sure, we acquired the PA data. It was denied.’
‘It was denied? What, uh, why was it denied?’
‘Oh, effectively, once more, it seems prefer it’s solely authorised for this one explicit sort of epilepsy.’
Claire: Which was simply what they’d mentioned earlier than. Bob will get able to enchantment.
And he says that is attending to him. After we talked, he talked about a lesson from this present:
Bob: I feel you guys suggest this of like not shedding your cool with the customer support folks, within the insurance coverage firms.
Dan: We do. Everyone says: It actually helps.
Claire: And all people is aware of. It’s not really all the time potential. Right here’s what occurred the subsequent time Bob calls his insurance coverage.
Bob: They requested me, oh, how’s your daughter doing? And I simply bear in mind saying like, you don’t care how my daughter’s doing. She’s terrified. She’s gonna be strolling to class and have a seizure as a result of she doesn’t have the remedy. So don’t give me this BS about how’s my daughter doing.
Dan: Bob looks as if a reasonably level-headed man.
Additionally — we’ve sort of withheld this till now– however Claire, you advised me Bob works in well being care, so he is aware of slightly extra about this world than most of us do. Insurance coverage, appeals.
He’s acquired the benefit, by way of preserving his cool, of not being in completely overseas terrain.
Claire: Yep, and he says he recovered his cool fairly rapidly.
Bob: I pulled again at after I realized what I used to be doing. Like this isn’t this individual’s fault. They’re simply in all probability studying a script.
Dan: However that is sort of the lesson right here: It doesn’t matter what sort of benefits you could have, these items is so irritating. Anyone can lose their cool. The important thing — and perhaps we should always do a complete present on this — is recovering. Since you’re gonna should stand up and go once more.
Claire: Yeah, and we’re simply attending to the most irritating half. Dan: Proper.
Claire: After greater than a month– and two rounds of appeals– Bob says Mary’s Clobazam lastly will get authorised.
Dan: And that is the irritating half as a result of…
Claire: Insurance coverage will cowl it now. However they inform him his share goes to be $150. Bear in mind, Bob mentioned underneath his previous insurance coverage, it used to solely price $15.
Bob: So 10 occasions the value now, plus the value you understand, of the opposite drugs she’s on.
Dan: Yep. All this ready, all this preventing, every part. And it’s ten occasions greater than he used to pay underneath his previous insurance coverage.
Claire: It’s much less dangerous– this insurance coverage initially was gonna make him pay greater than 500 bucks. However yeah. Not nice.
Dan: However Claire: this isn’t the top of Bob’s story, proper?
Claire: Not even shut.
Bob: What this sparked us to do is to take a look at, effectively okay, if it’s not going to get authorised, what are the opposite choices?
Claire: We’ll get into these choices– after the break.
Dan:This episode of An Arm and a Leg is produced in partnership with KFF Well being Information. That’s a nonprofit newsroom masking well being points in America. Their reporters win every kind of awards yearly. We’re honored to work with them.
So, Bob has labored the technique of Haggling With His Insurance coverage. And he received. Sort of. Besides that successful nonetheless leaves him paying ten occasions greater than he used to.
Claire: Sure, and now he’s going to work a complete completely different technique: Ignoring his insurance coverage. As a result of there can be higher offers elsewhere. Bob begins with GoodRx.
Dan: Plenty of folks realize it — it’s an internet site the place you inform them what drug you want, and so they’ll present you offers — reductions — at native pharmacies.
Which doesn’t all the time work. Saving 50 p.c on a thousand greenback drug doesn’t make it reasonably priced. I do know individuals who get mad once you point out it.
Claire: Bob says he acquired mad due to who advisable it to him: a rep from his insurance coverage firm.
Bob: Such as you’re my insurance coverage firm. Why? You’re, that’s what I pay you for.
Claire: Proper? he pays them premiums so he pays much less for well being care, together with medication. However he didn’t write it off. And he says now, it was really helpful: though he knew about GoodRx earlier than, he wouldn’t have thought to go there.
Bob: like I nearly, and that is gonna sound loopy, however I nearly considered GoodRx as like Medicaid. Like, I feel I considered it as like, oh, effectively that’s what you utilize when you don’t have insurance coverage.
Dan: Attention-grabbing! And in a single sense, he wasn’t mistaken: If you use a GoodRx low cost, you may’t use your insurance coverage too. Nevertheless it seems, even when you could have insurance coverage, GoodRx could be value .
Claire: Sure, and right here’s what makes Bob’s story stand out — the rationale we wished to actually dig in. It’s what he did subsequent. As a result of he didn’t simply have a look at GoodRx. He began exploring a complete world of choices. Truly, worlds.
One is the world of websites LIKE GoodRx.
Dan: Ooh, I’m googling “websites like GoodRx” — right here’s SingleCare, RxSaver, BuzzRx…
Claire: Yep, and for any given drug, every of those websites could present you completely different costs. So now that he was this world, he began mapping it.
Bob: I created this spreadsheet that had every of these choices, the completely different drugs after which the completely different pharmacies and the place we may sort of get the very best value for issues.
Claire: And: As soon as Bob began THIS outside-insurance world, began exploring others. Like Price Plus Medication.
Bob: And –What was actually type of eye-opening to me is that they did so a lot better than our insurance coverage firm did.
Dan: We must always actually speak about Mark Cuban Price Plus Medication, to make use of its full title. It’s fairly completely different.
Claire: Proper. The superstar proprietor.
Dan: Mark Cuban is mainly well-known for being wealthy. Like he owns the Dallas Mavericks basketball workforce.
Claire: And he’s spent 15 years on the fact present Shark Tank. [THEME]
Dan: It’s like American Idol for startups. Individuals pitch their enterprise to buyers who would possibly supply to purchase in, on digicam.
TV announcer: Mark Cuban has simply made the biggest supply in Shark Tank historical past.
Mark Cuban: Lemme ask you a query. If I supplied you $30 million for the corporate, would you’re taking it?
Claire: All of that, however the superstar issue isn’t actually what makes Price Plus completely different: The corporate buys meds direct from producers, and provides 15 p.c to their wholesale price.
Dan: Plus transport charges, and 5 bucks for “pharmacy labor”. Claire: Bob added CostPlus to his spreadsheet. And he preferred what he noticed. Bob: It’s very clear and tremendous low price.
Claire: He requested Mary’s docs to switch two of Mary’s prescriptions.
Dan: However not all of them. Price Plus doesn’t carry every part. For one factor, they largely solely carry generic medicine.
Claire: And — what issues in Bob’s case: they don’t carry managed substances. No person sells them on-line as a result of it’s unlawful to ship them. And Mary’s Clobazam? It’s a sort of managed substance: They’re known as Benzos.
Dan: Like Valium and Xanax.
Claire: So for Clobazam, the very best value he can discover is 85 bucks, utilizing GoodRx at Walmart.
Dan: A LOT lower than his insurance coverage was gonna have him pay. go spreadsheet! Head to WalMart, use GoodRx there.
Claire: Only one factor: Mary’s off at school now, and there’s no Walmart proper close by. And Mary, doesn’t drive.
Bob: Effectively, she has epilepsy. She will be able to’t have a driver’s license, so it’s uh, she will be able to’t drive anyplace. Proper? We had a Walmart close to our home at dwelling. I’m two and a half hours away from her.
Claire: And he says he made the drive.
Dan: Dad of the last decade. For ALL of this. Bob fought down the insurance coverage firms. He shopped round. He made the spreadsheets. And he made a bunch of spherical journeys to his daughter’s faculty.
Claire: Yeah, Bob guidelines. However he’s not precisely joyful about all of it.
Bob: I pay an insurance coverage firm each month outta my paycheck for prescription drug profit that I don’t really feel like I get, proper? Like I’m having to go exterior of that to be able to get them the drugs which can be nothing particular. Like, clobazam has been in the marketplace since just like the seventies.
Dan: Yeah, truthful.
Claire: However he could also be sport to take the win on that Dad of the Decade award.
Bob: Would say I did an impressive job of, you understand, staying, staying calm, and hiding that stress from Mary
Mary: I assumed he was gonna determine it out. Um.. [laughs] Bob: Whole confidence in me, proper? [laughs]
Dan: That’s Mary?
Claire: That’s her.
Dan: OK, so let’s evaluation these classes: Sure, you may combat your insurance coverage, however chances are you’ll get a greater deal going exterior of it. All of which suck — this was a LOT of labor, and never a complete victory — however is healthier than NOT realizing any of this.
Claire: Sure. And this story finally ends up going full circle. Again to the primary lesson. The deal can change on you. For worse. Or for higher.
Bob modified jobs once more not too long ago — so, new insurance coverage.
And truly, it’s good this time! Beneath Bob’s new insurance coverage, Mary’s clobazam is … again to fifteen {dollars}.
Which she realized when she went to choose it up not too long ago.
Mary: I used to be like, that is superb. Undoubtedly a weight lifted off my chest after I noticed a two digit quantity.
Dan: And talking of how the deal can change on you… this jogs my memory: went GoodRx not too long ago, and noticed a brand new value for Mary’s Clobazam there, too.
Claire: Sure. The bottom value on GoodRx is now: Thirty {dollars}, at a CVS she will be able to stroll to.
I confirmed the present GoodRx costs to Bob and Mary, and what struck Mary at first was this: how completely different the costs at completely different pharmacies have been.
GoodRx mentioned CVS had Clobazam for 30 {dollars} however…
Mary: It mentioned Walgreens was like over $300.over. It was like 300 after which every part else is between 25 and 35, perhaps 40, however I don’t perceive that.
Dan: I KNOW! Man, I had this precise expertise just a few years in the past. I used to be like, WHY ARE THESE SO DIFFERENT?
I ended up studying about firms known as pharmacy profit managers or PBMs. They’re those that truly resolve which medicine our insurance coverage covers, and the way a lot we pay for them.
We did a WHOLE episode about them (it was SOO sophisticated, however I realized an enormous quantity)
Claire: So we’re NOT gonna get into right here, however we’ll go away a hyperlink within the present notes in case folks need to nerd out.
As a result of at the moment we’re simply find out how to get issues to work higher for YOU.
So: Mary was curious concerning the 300 Walgreens value from GoodRx. And by the best way, she’s additionally livid with the entire system.
However right here’s one factor she was submitting away: She may now use GoodRx to get Clobazam for 30 {dollars} at CVS.
Mary: It was not like {that a} couple years in the past. And it’s reassuring to know, like, if I present up and it’s, you understand, $150, there are locations that will have a value I may really afford.
Dan: Let’s take that cup half full and add slightly bit to it. As a result of along with their story, Bob gave us yet one more factor: His spreadsheet. And we’ve been including to it.
Claire: Yep. We’ve acquired a template you may obtain — it’s within the present notes for this episode, and it’s in our First Support Equipment e-newsletter. And along with GoodRx, and a few comparable websites, and CostPlus, we’re including traces the place you may log costs from a world Bob didn’t discover.
Dan: I imply, he’s only one man.
Claire: So, one factor we’re including: ordering from pharmacies exterior the U.S.
Drug costs are decrease mainly in every single place else, and a few pharmacies in Canada will ship to the U.S. To keep away from shady web stuff, a software known as Pharmacy Checker will steer you to ones which can be above board.
Dan: One other addition: Producer coupons. SOMETIMES, particularly with brand-name medicine, pharma firms supply coupons that may make medicine reasonably priced.
Claire: There are a variety of caveats with these too.
Dan: Oh man, inform me about it. However not proper now. There are TOO MANY potential workarounds, too many caveats, for anybody individual to remember. That’s why we’re doing this throughout two episodes and FOUR installments of our First Support Equipment e-newsletter.
It’s all exhausting, and there’s no ensures. Nevertheless it’s all value realizing. And with assist from Bob, and a variety of listeners who chimed in, we’re boiling issues down and placing them in varieties we hope you’ll discover helpful.
As all the time, DEFINITELY please tell us how the stuff we offer could be even higher.
You’ll find the First Support Equipment e-newsletter at arm and a leg present dot com, slash first help equipment. New installments there each week. We’ll have a hyperlink wherever you’re listening to this.
And in our subsequent episode, we’ll dive into some ideas that actually stunned us, from people who do this type of factor for a residing.
Erika: I suppose in my coronary heart of hearts, I would like everybody to be taken care of. Dan: For now, Claire: Thanks a lot for bringing us Bob’s story. Claire: My pleasure!
Dan: And we’ll be again with the second episode on this sequence in just a few weeks. Until then, deal with your self.
This episode of An Arm and a Leg was produced by Claire Davenport with assist from me, Dan Weissmann, and Emily Pisacreta. And our new intern: Welcome Lauren Gould! It was edited by Ellen Weiss.
Adam Raymonda is our audio wizard.
Our music is by Dave Weiner and Blue Dot Periods.
Bea Bosco is our consulting director of operations.
Lynne Johnson is our operations supervisor.
An Arm and a Leg is produced in partnership with KFF Well being Information. That’s a nationwide newsroom producing in-depth journalism about well being points in America — and a core program at KFF: an impartial supply of well being coverage analysis, polling, and journalism.
Zach Dyer is senior audio producer at KFF Well being Information. He’s editorial liaison to this present.
An Arm and a Leg is Distributed by KUOW — Seattle’s NPR station. And due to the Institute for Nonprofit Information for serving as our fiscal sponsor.
They permit us to just accept tax-exempt donations. You possibly can study extra about INN at INN.org.
Lastly, thanks to all people who helps this present financially. You possibly can take part any time at arm and a leg present, dot com, slash: help.
Thanks! And thanks for listening.
“An Arm and a Leg” is a co-production of KFF Well being Information and Public Highway Productions.
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