Last year, Lee Bliven II, 72, spent $7,050 on the prescription drugs his wife needs to manage complications she developed after spinal surgery to remove a tumor in 2013. She takes 16 medications a day to treat rheumatoid arthritis, type 2 diabetes and other chronic conditions. Without health insurance, her drugs would have cost nearly $77,000, says Bliven, of Eugene, who is retired from running a water-drilling business. “We’re getting by,” he says.