The Cost of Remission: April on the Fight for Ulcerative Colitis Treatment

April Harris
2023 Infusion Access Foundation Champion
A story about living with ulcerative colitis

In 2008, at just 20 years old, April Harris’s “invincible” world was shattered by a diagnosis of Ulcerative Colitis (UC). What began as a shocking discovery quickly turned into a 15-year journey through a healthcare system that April describes as “ableist” and profit-driven. For nearly eight years, she found success and remission using Remicade, but the constant anxiety of “jumping through hoops” to maintain insurance coverage eventually led her to a heartbreaking decision: she quit the treatment that worked simply to escape the fear of a sudden, four-figure medical bill.

April’s story highlights the physical and emotional “roller coaster” of IBD. She candidly shares the trauma of severe flares—crying on the bathroom floor and losing her hair—and the “prednisone-induced euphoria” that inevitably crashed into manic anxiety and exhaustion. After attempting to treat her UC naturally to avoid insurance battles, her disease progressed to a point where biologics were no longer an option, but a necessity. Now using Humira, she still faces the annual “fight” for prior authorization and the stress of missed doses due to administrative lapses.

Today, April has reclaimed her life. She transitioned from a traditional 9-to-5 to running her own freelance business, a move that provides the flexibility her health requires. She is no longer waiting for “perfect” health to be happy; instead, she is an active advocate and hobbyist who loves roller skating and rock climbing. April shares her story to serve as a “survival guide” for the newly diagnosed, putting a human face on the statistics and urging policymakers to decouple “good” insurance from employment. Her message is clear: a diagnosis changes your life, but it doesn’t end it.

"Past denial of medication coverage has greatly and frequently impacted my treatment decision. For close to 8 years I was taking Remicade with great success in keeping my UC in remission. However, the hoops I had to jump through every year to make sure that my insurance company would continue to cover my medication was a mess. I also felt a sense of anxiety that at any point my insurance would drop my coverage and I wouldn’t be able to afford the medication that I depended on to keep me alive. It was due to this anxiety/fear that I decided to try to treat my UC naturally, with extreme diet and lifestyle changes alone. When that didn’t work, I eventually ended up on medication again and I greatly resisted going back on another biologic because of the same fears I had from before. Eventually my disease progressed to the point where it was no longer an option and I had to go back on a biologic. It’s still a fight every year with the insurance company to continue covering my medication."