Roger lost his arm in an industrial accident in 1991. While the injury was devastating, Roger returned to work after a year of recovery with a prosthesis. However, declines in the printing industry slashed his annual income and eventually his job was eliminated. When Roger needed a new prosthesis, he couldn’t afford it. When Roger began experiencing pain in the shoulder of his good arm, he faced the need for surgery. In 2014, under the Affordable Care Act, Roger signed up for Washington Apple Health (Medicaid). Apple Health paid for physical therapy for his rotator cuff, so he no longer needed expensive and debilitating surgery. It also paid for a new prosthesis. Reflecting on his experience with Apple Health, Roger is grateful and now has a sense of security about his future and well-being.