An estimated 1.3 million adults in the US with diabetes ration insulin due to high prices, increasing their risk of diabetes-related complications like organ damage and blindness
at Cambridge Health Alliance in Massachusetts and his colleagues looked at data from the 2021 National Health Interview Survey to see how such costs impact insulin use. Each year, the US Centers for Disease Control and Prevention administers the survey to adults from a sample of US households to collect data on income, health status, insurance coverage and more.
“That says something very troubling about the state of our healthcare system,” says Gaffney. Without insulin, many people with diabetes cannot control their blood sugar levels, which increases their risk of chronic complications, he says. People without health insurance had the highest rates of insulin rationing with nearly 30 per cent limiting insulin use. About 19 per cent of people with private health insurance also rationed insulin versus 16 per cent of those with Medicare, the federal health insurance programme for people 65 years and older. This is probably due to high out-of-pocket costs associated with some private insurance plans, says Gaffney.
People who were Black, under the age of 65 or considered low-to-middle income were also more likely to ration insulin compared with people in other socioeconomic groups. These demographics are already known to face higher insulin costs due to healthcare disparities, says
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