With states and insurance companies scrambling to reduce costs, there are more and more instances of payers changing coverage or restricting products. A recent extreme example was Washington State, which considered limiting the number of glucose test strips to one per day for kids with type 1 diabetes on Medicare. Thankfully, that propsal was rejected, but only after enormous effort on the part of prominent health care professionals and families in the state. There are more examples, including a major provider in Massachusetts deciding that they will cover only one kind of glucose meter and strip. That's fine if you use that product, but if you don't, you must either pay a much higher amount of switch involuntarily. (For users of Medtronic, Animas, or Roche insulin pumps, the glucose meter and strip system doesn't communicate with the pump.) CWD has always supported patient choice for all diabetes care products. No one product is the best answer for everyone, and choice helps foster competition which results in improvements in the products that our families use to care for themselves. (You'd never want to go back to the products used in 1989 when my daughter was diagnosed, for example. The best glucose meter took 120 seconds to produce a result.) I'm curious to know how widespread this phenomenon is, and what kind of impact this is having on CWD families. I'd appreciate your thoughts and experiences.