split personality

i'm feeling a bit split lately. i've tried to get a few 0% or low interest credit cards to move some of my higher rate (10%) card debt over. unfortunately, i've been turned down twice now, even though i over-exaggerated my potential income. (for those who don't know, i've been trying to get work since october of last year, with little success. let's say my timing's a little off. i tried to go back to work just as things started to get really ugly.)

my biggest issue has been health insurance. NYC has a great program Healthy NY that i finally lack enough income to qualify for. i'm paying $268/mos instead of the $640/mos i'd been paying as a sole proprietor. the weird thing is the Rx pricing is killing me (fucking pharmaceutical company money-grubbing bastards). Healthy NY's Rx program does not cover ANY of the drugs i take.

by far the most expensive is cymbalta, which i take for depression. with my old crappy insurance, i paid $1.78/pill ($1280 annually). shopping pharmacies, i'm paying $4.42/pill ($3180 annually), that's almost 60% more. now i'm looking at lilly's patient assistance program, where i have to show my low income. and as soon as i start making some real money, i'm no longer eligible. it also requires a doctor to administer--the pills are delivered to her. luckily, my doctors have all been great, so i'm not anticipating any problems.

when i looked at the lilly site, i noticed that cymbalta is also used to treat fibromyalgia, a very serious disease. i can't help but think that my psychiatrist who put me on the drug picked whatever his pharm reps pushed the hardest, with no regard for how expensive it is. (this is the same guy who was shocked i paid my own insurance premiums. hell-looooooo! most folks pay a portion of their health ins premiums. doctors do have to understand the financial implications of their decisions. their patients certainly have to.) thing is, this drug has worked better than anything else i have taken over the past 20 years. in fact, there are times i should probably take more, but at $4.42 a pill, i simply can't afford to.

i've managed to go to over the counter and generic solutions for my allergy drugs, and my allergy shots are covered, so that part has been a relief. but i did have to give up my preferred drugs. and i'll be relying on sample eye drops and nose spray next spring. those things are simply cost-prohibitive.

and last, my birth-control pills. i've been on the pill for 25 years now for a very irregular cycle and related depression. i take a pill now where i only get my period quarterly. it's been much better in terms of killing--i have much less desire to kill others and myself. so i don't want to switch. of course, not covered. i just checked and the fucking bastards actually cover viagra on my plan, with prior approval and a limit. hell, that i could work with. UGH!

i just found out something interesting: i don't have to have a period! how cool is that? i just spoke to the doc's office and they said i can ignore the week off when i get my period and start taking the pills. i will keep you posted on how this impacts my mental health.

sorry for all the detail, but this is what i have to deal with, and honestly, if i had kids and a job, i'd never have time. sigh.

so what makes more sense? milking my low-income status for what i can get? fight with all the other folks who've been laid off for crappy consulting gigs?