What is this big white thing in my medicine bottles?

Everytime I take my meds this big white thing falls out.  What is it?  What is it for?  Do I take it when all my meds run out?  I finally got a letter from disability.  THEIR doctor said that I said that I was disabled enough to get disability.  Well I wont let my cd4 drop to AIDS because it would hard to bounce back from that.  I can't get a job because for strange reason nobody wont hire me.  I miss my old work ethic that I use to have anyway.  If I work hard I can play hard.  Simple as that.  I am praying that my partner and I can move to Oakland, Ca. soon and get ourselves setup with a nice afforadable place to stay and good paying jobs.  There is so much more to do there than here.  A southern country town like this really has nothing to offer us far as entertainment.  It's too small and really has nothing to offer a person unless your just tired of big city life.  When I get to California I hope to meet other men like myself that are already living with HIV and have had it for at least a decade.  I want to make but I want a real support system of people that are completely REAL.  I don't want to meet another group of Catty Queens like the one I joined here.  I don't need that in my life right now.  I want to be around people that are going to encourage me and uplift not lure me to feel secure and then tear me down with catty statements or condescending glances.