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Compare that to zero to two uses per day with her usual maintenance dose. The process of setting up and using the nebulizer takes around 15 minutes and the machine itself is incredibly loud. There's no watching TV or listening to music while it's on; our dogs flee at the sight of it. Jackie compares it to an iron lung. Beyond the inconvenience, which is manageable, there are side effects. After using the nebulizer, Jackie's body visibly shakes like someone experiencing the chills that accompany a high fever.

Neither of these options are ideal, but they allowed her to stretch the maintenance medicine a little further. The inhaler finally arrived intact after a couple weeks. It was in a completely unremarkable cardboard box. The only reason we recognized it as the inhaler was because of the country listed in the return address. The inhaler itself was completely legitimate and identical to what our local pharmacy would have given Jackie. The only difference was the price, and the fact that a crime had to be committed to get it.

Fortunately, Jackie has since found a way to obtain her maintenance inhaler without breaking the bank or the law, thanks to a helpful doctor and, of course, not our insurance company. I make a pretty decent salary and we have good health insurance. I shouldn't have to commit a crime to get the medicine my wife needs, and there are plenty of people with severe asthma who are in a much worse place financially than we are and yet still wouldn't qualify for Medicaid.

The majority of those people have never even heard of a dark net market and certainly wouldn't know how to use one. What are they supposed to do? When life saving medicine is out of reach to those who need it, something has to change.

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