jim horney's bill -- $110,000. >> $110,000. my goodness gracious! how do you, how do you work with something like that? >> jim horney had to take out a $22,000 loan to pay for the first treatment while waiting to see if medicare foots the entire bill. >> they do have me over a barrel, and if push comes to shove i will probably suck this up. >> urologist-oncologist dr. paul schellhammer plans to use provenge one day to fight his own prostate cancer. he has recommended it to some of his patients knowing how some will struggle with the decision. >> for the person for whom it becomes a jor haship -- i.e., do i mortgage my home, do my kids not go to college -- i think that becomes an elthically based decision as to how important is life? most men in this situation have lived 60, 70 years, and how important is another one, two, three years or two, three, four months? >> yeah, it's not a long time. but, you know, when you're fighting for your life, four months, you know, is just four months more to be with your family, to be with your wife and to enjolife.