Tuesday, May 14, 2013

We, The Undersigned - Tuesday 5/14



We, The Undersigned - Tuesday 5/14

Today, day 2 of blog week, the topic is creating your own petition.  This is a good question to consider.  There are so many things I would love to petition to change about Diabetes.
We, the undersigned, petition the United States Government for free diabetic health care to all diabetics.  No one person should be denied medical care for a lifelong disease.  Diabetes is extremely expensive.  With the downhill economy, more and more diabetics are left without health insurance and funding to meet their medical needs.  Many families face life-threatening situations because they cannot afford their or their child’s insulin.  Choices like buying a vial of insulin vs. putting food on the table are being forced daily.
Lets look at the typical diabetic’s cost for one month on MDI (multiple daily injections).  A diabetic on MDI would need at least one vial of rapid insulin and one vial of long-acting insulin per month.  Each vial retails for about $150.  Insulin syringes retail for about $25 a box of 100 count.  Test strips average $1 per strip.  So diabetics on MDI need at least 4 shots a day (1 long acting, 3 rapid with meals) if their blood glucose levels are in their range (not needing a correction for a high.  They would need to test a minimum of 4-6 times a day…lets average this and say 5 tests.
                Cost of Insulin:  1 vial Long acting @ $150 + 1 vial rapid @ $150 = $300
    Long Acting Insulin (Levemir/Lantus):  1 shot per day x 30 days = 30 shots
                Rapid Insulin (Novolog/Humalog/Apidra): 3 shots per day x 30 days =90 shots
                Total Minimum Shots:  30 + 90 = 120
Insulin syringes come in bags of 10 with 10 needles in each bag.  A box of 100 syringes contains 10 bags of syringes.
                For 120 shots, 1 box and 2 bags (of 10 count) syringes would be needed.
                Cost of each syringe:  $25/100= $0.25
                Total cost of each syringe:  120 x $0.25 = $30
Test strips come in boxes of 25 count, 50 count, and 100 count.  The higher quantity the box you get the cheaper the strips are, but on average it is $1 a strip.
                Testing:  5 times a day x 30 days = 150
                Total cost of test strips:  $1 x 150 = $150
Total cost of Diabetes supplies for 1 month on MDI
                $300 + $30 + $150 = $480
This is the minimum cost for diabetes supplies in one month.  How many people do you know that have an extra $480 a month lying around? Not many.
Other factors that will increase the cost:
                Being on an insulin pump
                Being on a CGM
                Needing more than 4 shots per day (which is most on MDI)
                Needing to test more than 5 times per day
                Having to see a doctor
                Needing Blood work done
                And more!
It is very sad and unfortunate how many people are denied health insurance or medical care because of their inability to pay.  I know there are emtala laws stating in emergency situations you are allowed to be treated regardless of ability to pay, but so many won’t go get help because they do not want to be faced with the high bills emergency rooms and hospitals run.  Regular doctors’ offices do not have to follow these emtala laws.  But if all diabetics were allowed to have regular health care and access to their needed supplies, they would not be facing these situations.  I have many friends, and myself included, who have gone into medical debt.  No one should be in debt over a medical bill.