there are always small clinics around that would be able to take it out for you. Some go by your income and others have a set fee per dr visit. I would definently look into it in your area. Since I was already an established patient at my dr's office they were willing to put me on a payment plan. Do whatever you have to do, just get that thing out! I had mine taken out over a week ago and I feel so much better it's scarey what I was like before. I now have the energy to play with my children, it's amazing!!