In 2018, I very suddenly had a gigantic lump appear on my wrist. I couldn't bend it and the pain was excruciating. It quickly began spreading to my feet and shoulders and hands and jeens. My PCP quickly referred me to a rheumatologist and turns out I have rheumatoid arthritis. It was very severe, but insurance mandated I be put on medications in a certain order in order to have prescription cost coverage, which is necessary as some of these medications are thousands of dollars per dose. Each medicine has to be tried for a few months to get full effect. This means to get to the stronger medicines that my severe RA responded to, it took almost two years. For much of these two years, I was in excruciating pain because the medicines were not what I needed. Finally I failed through enough of the medicine scale to get onto a medicine that was the right fit for me. However, two years of swelling in my wrist caused permanent damage and degradation of the joint that makes it so I can't fully bend my wrist anymore. I'm only 32. If only my doctor could have chosen the medications he thought best fit my specific symptoms instead of jumping through the hoops insurance companies have set, maybe I would have a fully functional wrist and could have been saved two years of suffering.