For Nicola Jackson, how to stretch her family’s tight budget often boils down to choosing between paying for the prescription drugs she needs to stave off head-splitting migraines or buying groceries. Medicare doesn’t cover all the costs for her medications to treat fibromyalgia, rheumatoid arthritis and nerve damage, leaving Jackson to scrape for dollars each month in her constant battle to afford prescription drugs.

“I know I still have a bill, but what am I going to do?” Jackson, a...

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