EXHIBIT 2.

Examples of limited resolution of patients’ financial concerns

Example	Sample conversation
Assuming “coverage” means full coverage	DR: Why do the genetic testing? To see if there is anything else [to worry about].
	PT: I don’t know. It’s super expensive.
	DR: The genetic testing?
	PT: Yeah.
	DR: No. Insurance should take care of it.
Assuming generic medications are affordable	PT: I told you I didn’t buy the patch because I’m between halftime. I had to go borrow money to get my medicine and stuff.
	DR: Do you got—
	PT: Them pills is high, and them patches is, too.
	DR: But it’s a generic patch, though.
	PT: I know, but it’s still high.
	DR: It still costs money?
	PT: Yes, $40 something, that’s generic price.
	DR: Oh, yeah.
	PT: High.
	DR: Oh, okay. So then—
	PT: Yeah, I have to pay $45 for the insulin, now, then I told them, good God.
	DR: Yeah, yeah. Unfortunately, we cannot use steroids so that’s why that’s out. So are you taking the Plaquenil twice a day also?
Assuming copayment assistance programs and coupons resolve financial concerns	DR: We talked about some injection like—
	PT: Enbrel.
	DR: So, what’s happening on that?
	PT: I think it’s going to be too much for me to afford.
	DR: What do you mean? What kind of insurance do you have?
	PT: I have Blue Cross.
	DR: Blue Cross Blue Shield?
	PT: Um-hum.
	DR: Because the insurance company will give you some, uh, the drug company give coupons like for the copay.
	PT: And then do you have the coupons for that or…?
	DR: Yeah. I think if you call the drug company, they will tell you exactly where to contact.
Temporizing financial burden without discussing long-term solutions	DR: [Asks nurse] What’s going on with her Xeloda?
	NR: She never got it.
	DR: [Asks patient] Well, did you get a sample? Did the insurance pay for it?
	PT: No. When I was last here, the bottle you gave me was, that was it.
	DR: [To nurse] Do you have any samples of Xeloda? [Gives patient new sample.]
Failure to consider less expensive alternatives	PT: [Discussing OxyContin for metastatic bone pain] I have to spend $200 on pain medication, that’s how much these pills cost me.
	DR: For three a day?
	PT:Yep. $198 for 120 of them. So I’d rather go back to the 80s [a higher dose, to reduce cost].
	DR: All right. [Never discusses lower-cost narcotics.]

SOURCE Authors’ analysis of audio-recorded clinical interactions drawn from Verilogue™ Point-of-Practice database.