Hello,
I also think that nicotine replacement therapy is quite expensive. However, it is important to note that many insurance companies may pay for replacement therapy. Medicaid (at least in my state) covers this, as do some private insurers.
In my county, health department sponsored cessation programs provide the first two weeks of nicotine replacement product at no-charge as long as the participant does not have coverage and participates in the class. This gives the person two weeks to save what would have been spent on cigarettes and purchase additional product. A few organizations provide the full 8-10 weeks at no cost to those who qualify.
A pack a day smoker who spends $4.50 - $5 per pack can save enough in two weeks. It is also important to note that the nicotine inhaler, nasal spray, and wellbutrin are often covered by insurance. One who pays less for cigarettes will pay more for the patch, gum, or lozenges, but consider that it's temporary and an up-front investment to save more than money in the long term.
No replacement therapy is a guarantee. Nicotine replacement is only a method to assist with decreasing the physical withdrawl symptoms felt during the first month or so after quitting. The social and emotional addiction and habit must be addressed and behaviors changed, or no amount of nicotine replacement will work. The person finds themselves unable to handle triggers, and often begins smoking again. Too often, one states that the patch didn't work for them.
I am not trying to downplay the expensive nature of nicotine replacement. Nor am I saying it is easy to quit or that I have all the answers. I am only pointing out that what sometimes is seen as a barrier isn't if one looks to resources that are available or, as may be the case here, becomes aware of available resources. I do believe that insurance coverage for NRT and cessation therapy is in the future, but unfortunately not in the immediate future.
It doesn't make sense that chemotherapy would be covered, but methods to prevent it from happening wouldn't be. Preventative medicine is still in the early stages so to speak. When enough people speak out to insurers and employers who purchase the plans, NRT and cessation will become a covered benefit due to sheer demand and outcry.
PS- consider generic gum or other NRT products. In my area, it is about $15 cheaper than the brand. Still costly, but not as much.