Although I was born in the Philippines, my father worked at the United Nations and I grew up in the United States, Asia, and Europe. Prior to becoming a U.S. citizen, I enjoyed years of affordable health care and transparent insurance coverage. But after marrying my husband, a U.S. State Department official, and becoming a U.S. citizen, my yearly out-of-pocket costs for the branded thyroid medication I was prescribed – generics do not work for me – went from $280 in 2014 to $1,200 in 2016. My new insurer stopped covering my medication altogether in 2018, and although I won continued coverage for it, this year I paid $1,600 for my medication. If I lose coverage for 2019, I will have to spend more than $5,000 a year for the same medication that cost less than $300 just a few years before.