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KamaAina

(78,249 posts)
Tue Aug 23, 2016, 05:51 PM Aug 2016

Diabetes Patients Are Losing Limbs And Sight Because They Can’t Afford Insulin

https://consumerist.com/2016/08/23/diabetes-patients-are-losing-limbs-and-sight-because-they-cant-afford-insulin/

Earlier this week, we shared the concerns of patients who are struggling with the rising cost of EpiPens, injection devices that can save lives in the case of a severe allergic reaction to foods or other substances. The important thing about EpiPens, though, is that patients hope to never actually need to use them. Another drug with significant recent price increases, insulin, has to be taken every day… when patients can afford it.

Insulin is another injectable drug based on a human hormone, but it’s one that patients take every day. Well, they’re supposed to take it every day, which is kind of the problem. Affording different forms of insulin has become so difficult that patients are stretching out containers, which can cost hundreds of dollars for customers without insurance or who have a high deductible....

A medical professor who has tracked the cost of insulin over the years says that a one-month supply of a popular version that cost $45 wholesale in 2001 cost $1,447 14 years later, an increase of almost 3,000%. That’s the wholesale price, not the retail price that an uninsured patient would pay.

“These patients are desperate,” a pharmacist and diabetes educator in Texas explained. “They do without their insulin, skip doses, lower their prescribed dose to stretch out the insulin they have, and end up in the emergency room or ICU with long-term complications such as kidney failure, leg amputations or vision problems.”


33 replies = new reply since forum marked as read
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Diabetes Patients Are Losing Limbs And Sight Because They Can’t Afford Insulin (Original Post) KamaAina Aug 2016 OP
This issue, undue ability of pharma to price, has become a public health hazard. elleng Aug 2016 #1
I agree. The pharmaceutical industry needs to be regulated much more heavily. smirkymonkey Aug 2016 #3
Yes. We've got to get back to the good old days of REGULATION, elleng Aug 2016 #4
Tax Corn Syrup Urchin Aug 2016 #16
A decent hypothetical but elleng Aug 2016 #19
Type 1 Diabetes (that one takes insulin injections) is an auto-immune condition Ruby the Liberal Aug 2016 #21
Many people with type 2 diabetes also need dofus Aug 2016 #26
I have steroid-induced Type 2 and use insulin REP Aug 2016 #29
The federal government did take a stand GummyBearz Aug 2016 #31
I'm not smearing anyone. elleng Aug 2016 #32
Greatest Page for this important post! n/t CaliforniaPeggy Aug 2016 #2
Please don't ban me for this. Stonepounder Aug 2016 #5
Do not feel guilty for taking care of your health! mgardener Aug 2016 #12
You really don't have much choice. surrealAmerican Aug 2016 #23
Nobody should be up your ass about that. A lot of common prescriptions are loss leaders. LeftyMom Aug 2016 #33
another critical medicine /w a 1000% profit. These medicines should be nonprofit and open production Sunlei Aug 2016 #6
I'm so sick of this kacekwl Aug 2016 #7
Well, there was one guy ... Auggie Aug 2016 #18
I think I kacekwl Aug 2016 #25
No, it's because elected officials care more about their donations than their constituents. jtuck004 Aug 2016 #8
So true - and so shameful. n/t Yo_Mama Aug 2016 #13
Don't harp here... write to get a Congressional Investigation into big Pharma Greed NotHardly Aug 2016 #9
We do both, 'harp' and write, elleng Aug 2016 #11
Which companies make the insulin? GeoWilliam750 Aug 2016 #10
Novo Nordisk, Sanofi, Eli Lilly Ruby the Liberal Aug 2016 #14
We need a European style single-payer system GeoWilliam750 Aug 2016 #17
Yes we do. undergroundpanther Aug 2016 #27
K&R Jeffersons Ghost Aug 2016 #15
the industrial medical complex cannot afford diabetes to be cured. they LOVE pansypoo53219 Aug 2016 #20
This Is Criminal colsohlibgal Aug 2016 #22
This is not correct, Insulin is affordable at Walmart MyNameIsKhan Aug 2016 #24
The "normal" insulin is an older one REP Aug 2016 #30
You'd think that a untreated diabetic would be too expensive for them. annabanana Aug 2016 #28

elleng

(131,030 posts)
1. This issue, undue ability of pharma to price, has become a public health hazard.
Tue Aug 23, 2016, 05:56 PM
Aug 2016

It is time for the federal government to take a stand.

 

smirkymonkey

(63,221 posts)
3. I agree. The pharmaceutical industry needs to be regulated much more heavily.
Tue Aug 23, 2016, 06:40 PM
Aug 2016

And for that matter, so do insurance companies, banks and other financial institutions.

elleng

(131,030 posts)
4. Yes. We've got to get back to the good old days of REGULATION,
Tue Aug 23, 2016, 06:45 PM
Aug 2016

but it's been a while since it became such a BAD thing.

'Nobel Prize-winning economist Stiglitz tells us why 'neoliberalism is dead'

Joseph Stiglitz, the Nobel Prize-winning economist and former adviser to US President Bill Clinton, says the consensus surrounding neoliberal economic thought has come to an end.

(snip)

Since the late 1980s and the so-called Washington Consensus, neoliberalism — essentially the idea that free trade, open markets, privatisation, deregulation, and reductions in government spending designed to increase the role of the private sector are the best ways to boost growth — has dominated the thinking of the world's biggest economies and international organisations like the International Monetary Fund and the World Bank.'

http://www.democraticunderground.com/111678833

 

Urchin

(248 posts)
16. Tax Corn Syrup
Tue Aug 23, 2016, 08:31 PM
Aug 2016

The government should tax producers of sugary foods and use the money to pay for diabetes treatment, but instead government protects and subsidizes corn syrup.

elleng

(131,030 posts)
19. A decent hypothetical but
Tue Aug 23, 2016, 08:40 PM
Aug 2016

there are enough gorillas among pharma etc, surely don't need to drag in food/sugar/agriculture to the battle.

Ruby the Liberal

(26,219 posts)
21. Type 1 Diabetes (that one takes insulin injections) is an auto-immune condition
Tue Aug 23, 2016, 08:44 PM
Aug 2016

It has no root cause in food (or weight).

dofus

(2,413 posts)
26. Many people with type 2 diabetes also need
Tue Aug 23, 2016, 10:12 PM
Aug 2016

insulin injections.

I have a brother with type 2 diabetes. Actually I have two brothers with that disease, and even though they certainly contributed to it on their own, it doesn't matter. The cost of insulin should not be thousands of dollars a month.

REP

(21,691 posts)
29. I have steroid-induced Type 2 and use insulin
Tue Aug 23, 2016, 10:57 PM
Aug 2016

Type 2 is also genetic and auto-immune - just not as severe.

 

GummyBearz

(2,931 posts)
31. The federal government did take a stand
Wed Aug 24, 2016, 12:06 AM
Aug 2016

We got the ACA. What else can you ask for? Don't smear our leader

elleng

(131,030 posts)
32. I'm not smearing anyone.
Wed Aug 24, 2016, 12:35 AM
Aug 2016

As you can see, in spite of ACA this behavior continues. End users and insurers must be empowered to negotiate with providers for price and service, as is the Federal government's Office of Personnel Management on behalf of federal employees and retirees who participate in the Federal Employees Health Benefits Plans. https://www.opm.gov/healthcare-insurance/healthcare/plan-information/plans/

In addition, the Federal Government has the tools of antitrust enforcement, among others, with which to attempt to address such egregious behavior.

Stonepounder

(4,033 posts)
5. Please don't ban me for this.
Tue Aug 23, 2016, 06:47 PM
Aug 2016

Much as I hate to admit it, the one thing I get from Wal-Mart is insulin and hypodermics. They are literally 1/3 the price of anywhere else. I can get 100 needles for about $12 at Wal-Mart. Same needles at my big-box grocery pharmacy are $31. Insulin for a 10Ml vial at Wal-Mart is $28, at big-box almost $90.

But I agree. This is capitalism run amok. They raise the prices because they can and they know people will have to pay it.

mgardener

(1,817 posts)
12. Do not feel guilty for taking care of your health!
Tue Aug 23, 2016, 07:40 PM
Aug 2016

Why would you pay more for life saving meds?
If my meds were cheaper there, that is where I would buy them.
There are certain items I can only buy at Walmart and I buy them. But I choose not to do the bulk of my shopping there.

Take care of yourself!

surrealAmerican

(11,362 posts)
23. You really don't have much choice.
Tue Aug 23, 2016, 08:49 PM
Aug 2016

I understand that you feel bad about supporting a company that causes harm, but you just don't have a viable alternative. There's no sense beating yourself up about it.

So many drug prices are at the breaking point now. We need government intervention. "Consumers" (who should really be called "patients&quot cannot solve this problem alone.

LeftyMom

(49,212 posts)
33. Nobody should be up your ass about that. A lot of common prescriptions are loss leaders.
Wed Aug 24, 2016, 12:39 AM
Aug 2016

They're selling them cheaply on the assumption that while you make your way to the pharmacy and wait for your prescriptions you'll fill your cart up with everything else you need.

Sunlei

(22,651 posts)
6. another critical medicine /w a 1000% profit. These medicines should be nonprofit and open production
Tue Aug 23, 2016, 06:47 PM
Aug 2016

emergency epipens and asthma inhalers should be over the counter

kacekwl

(7,020 posts)
7. I'm so sick of this
Tue Aug 23, 2016, 06:50 PM
Aug 2016

between big pharma and insurance costs literally killing people it's no wonder people are looking for a leader, any leader to speak for then , to help them , to SCREAM for them . This issue and healthcare in general is my NUMBER ONE concern . Please someone help get this , my country in line with the rest of civilized countries and give us the care we need.

 

jtuck004

(15,882 posts)
8. No, it's because elected officials care more about their donations than their constituents.
Tue Aug 23, 2016, 06:51 PM
Aug 2016

If they spent half as much effort working for them as they do for the people who own them this would not be a problem.

NotHardly

(1,062 posts)
9. Don't harp here... write to get a Congressional Investigation into big Pharma Greed
Tue Aug 23, 2016, 07:01 PM
Aug 2016

A good post of info but action not complaining in a website would be more valuable.
Everyone should be writing to/emailing their Congressional representative and demanding an investigation into corporate behavior that threatens the live of Americans.

Ruby the Liberal

(26,219 posts)
14. Novo Nordisk, Sanofi, Eli Lilly
Tue Aug 23, 2016, 08:23 PM
Aug 2016

They are all competitive in pricing. And all of it is outrageous. Most people need 2 different types - a long lasting (daily) and quick acting (at meals) so one of each.

undergroundpanther

(11,925 posts)
27. Yes we do.
Tue Aug 23, 2016, 10:38 PM
Aug 2016

We will do fine without insurance companies
And with shitloads of regulations on the psychopaths who kill through capitalism.

colsohlibgal

(5,275 posts)
22. This Is Criminal
Tue Aug 23, 2016, 08:48 PM
Aug 2016

For profit healthcare is beyond evil. It makes no sense other than for company CEOs stuffing their pockets and for exactly what? It is plain wrong and uniquely American.

Greed is not good, especially concerning health care. Our goals differ....we want to stay well and alive, they want to get rich. BTW physicians often get low balled as well.

MyNameIsKhan

(2,205 posts)
24. This is not correct, Insulin is affordable at Walmart
Tue Aug 23, 2016, 08:53 PM
Aug 2016

NovoLog (Rapid and Night-time) cost $20 dollar for 15ML which goes for entire month at Walmart for worst case of diabetes. No insurance.

Out here in California Medi-Cal covers Lantus Solostar Pens and Humalog Kwikpen, PEN based dispensable systems for all diabetes patients. Further Metformin needed in conjunction with Insulin is $5 at Walmart.

There are new drugs in market like Trulicity those are expensive and cannot be afforded without insurance. Medi-cal covers this drug as well as other similar to this that are helping many patients lower weight and A1C.

In total a poor diabetes patient without any insurance needs $60 (insulin, tablets, injections) per month to survive in bare bone.

The problem happens for uncontrolled diabetes where poor people are not educated regarding diet control and then with A1C over 9, they develop horrible side effects, swollen ankles and foot, kidney damage etc

Regarding Eye, Retina damage is most common symptoms and again Medi-cal/Medicaid covers Luncentis injections that keeps this in control. The problem is poor without any insurance.

REP

(21,691 posts)
30. The "normal" insulin is an older one
Tue Aug 23, 2016, 11:11 PM
Aug 2016

It's better than nothing, but those older gneration long-acting insulins have a peak, which the newer generation insulins do not. Using an older Normal insulin may mean using more Regular insulin, which uses more insulin, more needles and risks hypoglycemia.

Not everyone qualifies for MediCal and Metformin is not appropriate for all T2 diabetics.

Keeping HbA1c at 7% or below doesn't guarantee no side effects of diabetes. It may help prevent or slow progression of some, but even with perfect control, diabetes DGAF. Neuropathy, nephropathy, cellulitis, retinopathy, etc can still happen.

It'd just be better if all insulins and oral meds were easily affordable to anyone diagnosed with diabetes. It's a shit disease, and making due with the cheapest drug you can afford but maybe isn't the best doesn't make it any easier.

annabanana

(52,791 posts)
28. You'd think that a untreated diabetic would be too expensive for them.
Tue Aug 23, 2016, 10:40 PM
Aug 2016

You have to appeal to their wallets. It's the only language they understand.

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