"The kicker is that Culovort is critical in treating colon cancer. It's used along with another cancer drug, Fluorouracil, or 5-FU, as it's commonly called. Think of 5-FU as a grenade that masquerades as a component of DNA and explodes inside the cancer cells. Culovort is an accomplice that helps it get past the guards. Without the Culovort, you've got all the toxic poison of 5-FU, but fewer cancer cells getting killed."

He steepled his long thin fingers together, and looked over them as he spoke. "The problem is, Culovort is off patent and therefore it's cheap."

Erin said, "That's a problem? Oh, I see."

Edward Kender nodded. "Schiffer Hartwin Pharmaceutical makes only a negligible profit off it. Without it, the people suffering from colon cancer are the biggest losers, like my father. With no Culovort, they'll be forced to use the new oral drug-Eloxium. Some believe the oral drug is better-but the thing is, Eloxium can cost twenty thousand dollars for the treatment course.

"Most insurance companies do not cover the oral treatment, or only a small part of it, which means that many colon cancer patients will have to come up with thousands of dollars to pay for the Eloxium. Dad's oncologist is furious about it because she'll have to force patients over to the oral medication. There'll be simply no choice once there's no supply. Even worse, if a patient begins the Eloxium, there's no going back, even if Culovort becomes available again."

Erin said slowly, "So mortgage your home to pay for the treatment of a life-threatening disease, and have a nice day."

"Can you imagine, Erin, not only dealing with chemotherapy and all the brutal side effects, the possible prospect of dying, your family's grinding fear, the unending stress, and then being told that one of the major components of your chemotherapy course isn't available anymore because of unexpected production problems? And, oh, yes, sorry, but on top of all that, it's going to cost you a bundle out-of-pocket to switch over to a new chemo drug."