Biologics, Part 2

Having figured out that part of my reluctance to take a BRM (read part 1 here) is that I don’t want to need one, I’ve dealt with that.  I will not let irrational fear prevent me from getting the treatment I need.  Especially after such an outpouring of support.  Thank you again to those who commented and emailed.

Reason number two.  Stupidest reason of all:  I failed.

Biologics are for people who fail  DMARDs.  How can you fail a drug?  I’ve never failed anything!

 Go ahead.  Laugh.  I did.  This is probably the silliest thing you’ve ever heard!

(I really do think that different nomenclature might help.)


Biologics, Part 3

This is the third in a series.  If it makes no sense on its own, start with part 1.

A portion of my reluctance to take a BRM  is the cost.  Yes, economics finally rears its head.

Everyone talks about how incredibly expensive biologics are – even people with good insurance.  I’ve heard people talk of a monthly copay of $300 to $800 for a single medication.  That money has to come from somewhere. 

I try to minimize the impact of RA on my family.  If we have to cut back on the food/clothing/education/entertainment budgets to pay for medicine, that makes it pretty difficult to ignore the economic impact of this disease.

I have a child headed to college in two years ($30K per year for five years at his school of choice).  Another the following year.  Another kid the year after that.  The year the oldest finishes school, the fourth begins.  The year the third child finishes college, the youngest begins.  Money is going to be tight.  I’m happy to scrimp for my kids to get a good education and go chase their dreams.  I’m not so happy to have the family do without things on my behalf.  Who needs the government to ration care when I can ration it all by myself?

How to explain this?  Many people have mentioned programs that the pharmaceutical companies have to help people with their co-pay toward biologics.  Great.  My rheumy even mentioned it – maybe she thought that was my hesitation.  The thing is… our income makes it unlikely that our family would qualify for any assistance.  Someone with no money might qualify for help, but I wouldn’t.  And I don’t have hundreds of extra dollars sitting around.

The more I’ve thought about this situation, this is the easiest problem to address.  What if I’m worried about nothing?  My insurance is pretty good.  Usually.  Maybe these won’t be as expensive as I’m afraid they’ll be.

Lots of research to do…