Hi Sam, I know how hard it can be with insurance companies. I pay a huge premium every year and then have to pay $4000 before my insurance kicks in. I am on payment plans to every dr. I have seen this yr which is approx 6 and then I have a payment plan to the hospital for ER and all my tests. I have to take the money out of my retirement account which is supposed to be for my retirement not drs. I only pay each one about $10 or $20 a month. Tough luck for them - I guess someone won't be getting a new Mercedes or BMW this year. At least my insurance does cover all my meds. It's too bad you can't get to a dr. because they often have samples of meds that they will give you when they know you are not able to afford them. My pulmonologist gave me samples to get me started so that saved me for at least 1 month. I am getting all the rest of my dr. appointments out of the way before Dec. 31 as my insurance is paying 100% now. Then I am going to keep away from drs. until I can get these bills paid off. I am 63 so have 2 yrs left & then I will have medicare. I tend to talk alot, Sam, so sorry because you wanted to know about the old inhalers as opposed to the new ones. The old albuterol with CFC worked the best. The new one I take is the Pro Air HFA and it still works pretty good, but nothing works as well as the ones with the CFC now banned by the government, probably the EPA. Only thing is when I have talked to my drs. they have all said that the small amount of CFC was not enough to hurt the environment. That is why you have people on these more expensive inhalers like symbicort and Advair.So as long as you are careful about using your albuterol you should be fine. Just really try to stay calm and if you are starting to feel difficulty breathing it is best to use the inhaler so the attack doesn't get bad and you can clear up faster. The healthcare system in the US is a mess and I hope the new administration will start to do something so people can get the care they need. Take care of yourself, Sam and post anytime and I will try to help.