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What I meant, is that each year I have the option to change which Part D plan I use. Many people search the plans offered to find out which has the best price for the drugs they use. Massachusetts even has a web site to make that easier. Once I sign up, I can't change plans until the next year - but the insurance company can change what they charge me. A friend of mine volunteers to help people navigate that maze, and he has told me of people fighting with insurance companies to keep the coverage they signed up for.

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Now that I’m on a plan that pays for a medication I had to go through special approval to get my medication covered for a $95 copay I worry about changing to a different plan and losing that.

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The whole thing is a mess. We need national health insurance funded by our taxes, so that actually getting health care and medecines does not require huge additional amounts of money. Plus, the govt needs to be able to negotiate with all drug companies on all drugs, and to take any windfall profits from these huge corporations and use them for the public good.

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