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Saturday, 16 March 2019

How Much Difference Will Eli Lilly's Half-Price Insulin Make? March 16, 2019

 When Erin Gilmer filled her insulin prescription at a Denver-area Walgreens in January, she paid $8.50. U.S. taxpayers paid another $280.51.
 "It eats at me to know that taxpayer money is being wasted," said Gilmer, who has Medicare and was diagnosed with Type 1 diabetes while a sophomore at the University of Colorado in 2002
 
How Much Difference Will Eli Lilly's Half-Price Insulin Make?
by Bram Sable-Smith
 https://www.medscape.com/viewarticle/910295?nlid=128661_381&src=WNL_mdplsnews_190315_mscpedit_wir&uac=164666HZ&spon=17&impID=1909067&faf=1
        Diabetics type 1 present themselves as Royal.  Really, what author of publication is talking about? Money. Not simple money she pay, but taxpayers pay. Really, why it is so much attention to the subject how much and what to cost? To show that it is Big Pharma to blame why cost of medicine is too high. But reality is very very different. The cost of medical care is high because of wrong diagnose and wrong treatment patients do have. The point how much cost one  single vial of Humalog or any other type of medicine really is pointless. The question is, for how long diabetic will use this vial? How many units is in the vial? How many units diabetic type 1 take every single day?
      Cost of medicine for diabetics type 2 is less then insulin. One month supply for Metformin, common medicine used to be Rx to diabetics type 2 cost just $4. It is full month supply, 2000 mg every day for one patient. Not really very expensive. This is why MD love to Rx Metformin, and Metformin is number one doctor's choice. If so then say me, why it is so much attention to how much taxpayers pay for medical care diabetics type 2? Because of Metformin does not work well to increase insulin supply, and there is another medicine needed. MD will add-on SU, Glipizide or Gluburidge. It is also not expensive. Medical care name that medicine "cost effective therapy'. There is no high cost. Nether there is any positive effect of these medicine. A few years later diabetic needs Intensive Care, amputations, and a lot of expensive medical devices.
     Really, is this Pharmacological Industry to blame that diabetics type 2 die less then 10 years after being diagnosed with diabetes type 2? Or it is even better idea, to blame victims of medical care, diabetics type 2, that we collect pounds, get obese, and hardly able to breath. Why? Edema, kidney failure, heart failure, limphodema, DVT, stroke, heart attacks, COPD and Asthma, you name it, diabetics type 2 do have it.
 When Lilly's Humalog, the first short-acting insulin, came to market in 1996, the list price was about $21 per vial. The price didn't reach $275 overnight, but yearly price increases added up.
       Well, I have no one idea how much cost one Lb of banana, but in 2000 the cost was $0.17. Not it is $0. 58. Price for bananas tripped, right? The question is, why cost of insulin must be the same as it was in 1925? BTW, it is not the same insulin ether. In 1925 it was animal insulin. Now we take human insulin.
     If I could I would like to ask Erin Gilmer another question: is this really true that she would die if she will not take insulin? Not at all. I suggest to lady to take Metformin and SU, glipizide. It is not expensive, and she will safe a lot of money to society. Why do not try this experiment, let her stay out of insulin and see for how long her sugar will rise up to 700 mg/dl., if every. That's right, why do not try it? Diabetics type 2 do not take insulin. We are diagnosed as non insulin dependent diabetics. Based on what? The age. Mrs.Erin Gilmer is not child. Let us try to see insulin content in her body.I am sure her insulin content higher then mine, and I am not insulin dependent diabetic type 2 who suppose to live on SU and Metformin. Let us take a look at C Peptide level of Mrs. Erin Gilmer. Are her C Peptide level less then 2? Or she has higher C Peptide level then I do? C Peptide level is test to see level of insulin secretion by the body.
      I wish to say, why "Stories about people with Type 1 diabetes dying when they couldn't afford insulin have made headlines. Patient activists like Gilmer have protested high prices outside Lilly's headquarters in Indianapolis." And there is no one activist activity to protect right of diabetics type 2 to live. No one activist protest that diabetic diagnosed with  medical condition no one doctor able to say how this condition was diagnosed. She me test to diagnose type of diabetes. No one test. No one mark to differentiate types of diabetes. Still, it is easy to Rx medical treatment, insulin for insulin dependent diabetics because of they are insulin dependent diabetics and no insulin for non insulin dependent diabetics because of they do not take insulin, and to take insulin some MD must diagnose diabetic as insulin dependent diabetic.
    Dr.: What medical condition do you have?
Ptnt: I am diabetic.
Dr. What type of diabetes?
Ptnt: I do not know.
Dr.: Do you take insulin?
Ptnt: no.
Dr. Then you are non insulin dependent diabetic type 2.
Ptnt: can I take insulin? I do poison effect from Metformin. And I do not feel well with Glipizide.
Dr. No. You are non insulin dependent. You do not need insulin.
Ptnt:How do you know if I need or I do not need insulin?
Dr. I checked up you blood.
Ptnt: what is the level of insulin in my blood?
Dr. OK, Dress up and follow me.
 The end of the visit. Patient leave clinic with Rx to metformin and Glipizide. No Rx to Insulin.
     OK, another issue with price is to bring deneric medicine to market.
But in the case of Humalog and other insulins, there are no generics made by competitors, as there are for, say, the cholesterol medicine Lipitor or even other diabetes drugs, such as metformin.
         As I just posted above, Metformin is very cheap. Only one problem with this medicine, there is no benefits from this medicine, but a lot of side effects. Another medicine is Lipitor. Yes, Lipitor has a lot of generics: atrovastattin, provastatin, simvastatin, and so so on. Only one problem, the same as with metformin, it is not costly, but not effective. It leads to MI and do not decrease cholesterol in diabetic's blood. Lipitor do the job. But it is costly. I pay $0 for any generic. I have to pay co=pay for brand medicine, Lipitor cost me $20 every supply. Now finally my cholesterol is normal. It all the time used to be very high. So, is these advocates really care for diabetics or they simple like to be activists? There are a lot of them right now. They named "Pussy Hats". Interesting, how much they paid? Is these money also paid by taxpayers?


via Ravenvoron

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