 [ Symptoms ] can trigger finger lead to osteoarthristis i have been treated for trigger finger for the past 4 yrs and have been treated with cortisone which has managed to abate the pain i am concerned that i am or have developed arthritis in the area are my concerns founded [ Disease ] you will no longer be turned down for coverage because of your copd and are guaranteed insurance starting january 1 2014 without income it is likely you will qualify for medicaid however not all states are expanding their programs to cover people who were previously not eligible i would suggest you begin searching the marketplace to get a sense of your options you can do that at healthcare gov