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The ways in which RA affects society include reduced workforce participation, increased costs of managing the condition, and increased impacts on carers. In 2008-09, the estimated total direct health expenditure on RA was $318.7 million, a substantial share of it being accounted for by prescription medicines ($273.6 million or 86% of the total). Currently, there are no national statistics on the indirect cost of managing RA, such as productivity loss and costs for carers. Reference: AIHW 2013 . A snapshot of rheumatoid arthritis. AIHW bulletin 116. Cat. no. AUS 171. Canberra: AIHW. Drew Dwyer is a Principal Consultant for Frontline Care Solutions, aged care training specialists. Frontline Care Solutions are members of Australian College of Nursing (ACN), are an Approved Provider of Education Courses in Nursing (APEC) and conduct evidenced-based research through the Joanna Briggs Institute (JBI). All workers in the aged care sector need to remain vigilant to the fact that pain in the