I manage my illness pretty well. Sure it impacts on most, if not all, aspects of my life. Sure it can be really sore, and, quite frankly, a big social hassle at times. But on the whole it's consistent.
The times I am really unwell because of my skin are no where near close to the good times I have in my life.
I may have limitations, but I am so fortunate to be able to work full time, study part time, write, present on TV, cook, do fun stuff with friends and see bands. I do a shitload of stuff, considering.
So how do I justify a drug that will impact so adversely on my life when I am well, just to suppress the symptoms of the few times I am really unwell?
I can see that my (dismal) study of economics in first year uni applies to this situation in my life. The opportunity cost of such a drug is far too big to jeopardise my quality of life. Even if it means fewer sick days.