Can you imagine if getting your medical prescription required a five hour journey involving a bus ride to the pharmacy, an additional bus ride to the doctor’s office, a bus ride to pick up money for a copay, another bus ride to the pharmacy, and a final bus ride home, all for a 7-mile trip? This is the reality for Sharlene Adams – a low-income resident of Baltimore, Maryland. Sharlene Adams’s story provides insight into obstacles such as commuting, health literacy, and financial support that can hinder access to healthcare for some low-income patients.