Happy spring everyone! For most of us, spring allergy season is in full “bloom”! I know it is a busy time in the clinic as many patients (both new and established) are trying to get in to see us. But hopefully you will reserve some down time to relax and recharge. A good and useful activity is reading the April issue of the Annals of Allergy, Asthma and Immunology. This month’s issue emphasizes socioeconomic aspects of allergy/immunology practice. Some may think socioeconomic concerns only apply to patients who do not have insurance or are otherwise socially disadvantaged. However, with the literal explosion on the market of new and very expensive therapies for many of the conditions we treat such as asthma, atopic dermatitis, hereditary angioedema and others, even insured patients often face challenges.