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You are an RN case manager for a large insurance company. Sheila Johannsen is a 34-year-old mother of two small children. She was diagnosed with advanced, metastatic breast cancer 6 months ago. Traditional chemotherapy and radiation seem to have slowed the spread of the cancer, but the prognosis is not good. Sheila contacted you this morning to report that she has been in contact with a physician at one of the most innovative medical centers in the country. He told her that she might benefit from an experimental gene therapy treatment; however, she is ineligible for participation in the free clinical trials since her cancer is so advanced. The cost for the treatment is approximately $150,000. Sheila states that she does not have the financial resources to pay for the treatment and begs you “to do whatever you can to get the insurance company to pay. Otherwise, she will die.” You know that the cost of experimental treatments is almost always disallowed by your insurance company. You also know that even with the experimental treatment, Sheila’s probability of a cure is very small. ASSIGNMENT:  Decide how you will proceed. How can you best advocate for this patient?