. 2021 Sep 17;5(5):898–906. doi: 10.1016/j.mayocpiqo.2021.07.003

Table 2.

Theme 2: Impact of Financial Cost on Health; Subthemes Include Impact on Care (physical), as Well as Emotional Impact

	Quote
Impact on care	2.1. “I’m so medically broke I’m going to have to go back to injections. I’ve been on a pump since 2006 and insulin since 1981. I am only 34 years old but I know as soon as I go back to injections my life expectancy will decrease.” 2.2. “The many times I’ve ran out of Lantus over the past year, I tried taking just Humalog (I have plenty of it) and it always was a disaster, even when checking my BS (around the clock) every 2 to 4 hours, it never worked out.” 2.3. “Insulin is outrageous in price! I have had to go back on injections since my insurance doesn't really pay much for infusion sets, my company on infusion sets is $500 for 3 months.”
Emotional impact	2.4. “What am I supposed to do? I can't live without insulin, how can these insurance companies do this...Now I'm super scared to even try and fill my pump supplies, they're going to tell me I owe a million dollars for them. I don't know what to do, I've had diabetes for 25 years and a pump for 18 and I've never had to deal with this.... so frustrated.” 2.5. “I was told by a pharmacy clerk that a man did not have any insurance and needing insulin it cost 900.00. He could not get it. He was given 3 needles for his insulin and was told by his doctor I hope you get some help and have a good day. What? How can these insurance companies get away with this? Profit before helping folk. What an ugly world we live in.” 2.6. “Well now I have insurance through my job and it sucks. I just picked up a 1 one supply of insulin and had to pay $550.00 out of pocket. The pharmacy told me that the insurance company covered some of it. I started crying of anger because I can't afford $550.00 right now, let alone every single month.” 2.7. “Now, they will only cover 1 box of 100 strips for each 3 months!... unless you turn in a copy of your logs to prove you use more than that. That's 1 test a day...! ...so whether I like it or not I HAVE to log it now if I want to test when I need it! I really hate it that people who are NOT our physicians (in fact, not physicians at all!) are making decisions on what we need... ARRRRGH!”

Quote

Impact on care

2.1. “I’m so medically broke I’m going to have to go back to injections. I’ve been on a pump since 2006 and insulin since 1981. I am only 34 years old but I know as soon as I go back to injections my life expectancy will decrease.”
2.2. “The many times I’ve ran out of Lantus over the past year, I tried taking just Humalog (I have plenty of it) and it always was a disaster, even when checking my BS (around the clock) every 2 to 4 hours, it never worked out.”
2.3. “Insulin is outrageous in price! I have had to go back on injections since my insurance doesn't really pay much for infusion sets, my company on infusion sets is $500 for 3 months.”

Emotional impact

2.4. “What am I supposed to do? I can't live without insulin, how can these insurance companies do this...Now I'm super scared to even try and fill my pump supplies, they're going to tell me I owe a million dollars for them. I don't know what to do, I've had diabetes for 25 years and a pump for 18 and I've never had to deal with this.... so frustrated.”
2.5. “I was told by a pharmacy clerk that a man did not have any insurance and needing insulin it cost 900.00. He could not get it. He was given 3 needles for his insulin and was told by his doctor I hope you get some help and have a good day. What? How can these insurance companies get away with this? Profit before helping folk. What an ugly world we live in.”
2.6. “Well now I have insurance through my job and it sucks. I just picked up a 1 one supply of insulin and had to pay $550.00 out of pocket. The pharmacy told me that the insurance company covered some of it. I started crying of anger because I can't afford $550.00 right now, let alone every single month.”
2.7. “Now, they will only cover 1 box of 100 strips for each 3 months!... unless you turn in a copy of your logs to prove you use more than that. That's 1 test a day...! ...so whether I like it or not I HAVE to log it now if I want to test when I need it! I really hate it that people who are NOT our physicians (in fact, not physicians at all!) are making decisions on what we need... ARRRRGH!”

BS, blood sugar.