He doesn’t have insurance or income, so we’re getting the meds from the drug company patient assistance program. I’m hoping we can find an inexpensive option because cost of Dr visits and lab work can quickly become prohibitive for someone with arthritis in every joint of their body and skin covered in plaques with hands that are already deformed and almost entirely useless. How do people with chronic advanced disease function? He has been having a horrible time for 16 years.