Most people have probably never heard of step therapy, even though one day they may suffer its dangerous side effects. The policy — a common tool used by insurance companies — requires patients to fail first on lower-cost medicine before they can move to more effective and costly treatments. It sounds innocuous enough, but inappropriate step therapy practices can cause serious physical and emotional harm.

At the age of 17, I was an active teenager who danced, played volleyball and completed an Outward Bound course. But an autoimmune disease related to my psoriatic arthritis slowly ravaged my body, crippling my…

Katie Roberts

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