• FosterMolasses@leminal.space
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    23 hours ago

    God bless Governor Newsom.

    Wouldn’t be surprised if California is the first to secede when the fourth reich really begins to hit.

  • DupaCycki@lemmy.world
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    2 days ago

    As a Newsom hater, I have to admit this is a big win for everyone. While he’s still very far from an actual solution to the country’s root problems - you can vote for him (if that’s an option), and then continue protesting and pushing for more reforms. I’m not quite as optimistic to believe this will happen, let alone succeed, but it’s an idea.

    • Tollana1234567@lemmy.today
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      1 day ago

      california has been looking for a low cost insulin for a few years, i think they were moving towards this for a while. the resistance is coming from the trioply that owns the other formulations of insulin.

      • TheJesusaurus@sh.itjust.works
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        23 hours ago

        Quick reminder that insulin was invented when Hitler was still a struggling art student.

        Invented by a Canadian who sold the patent to a Canadian public university for a (Canadian) dollar, because he recognized that this should not be commercialized.

        Insulin is available for pennies almost everywhere in the world because of this decision, but not in the USA

        • Tollana1234567@lemmy.today
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          3 hours ago

          the original version, but elly lily, novo nordisk, and sanofi made the other variations which was more effective and potent(depending on the person), they just prevented any other person from making a cheap or generic version through lawsuits originally.

    • Florencia (she/her)@lemmy.blahaj.zoneOP
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      Newsom can be shamed into doing the right thing. Trump/Vance/Miller will disappear the shamers. Completely different realities.

      The most transphobic version of Newsom is a return to needing several doctors to write a letter saying you are trans. We’re already seeing Trump denying the right to exist and forcing the next generation of trans kids into navigating black markets for T shots or forced to grow with the wrong hormones.

      • Tollana1234567@lemmy.today
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        because the 3 companies that made the different variations were fighting tooth and nails for anything similar to even being developed for years and years.

      • Bennyboybumberchums@lemmy.world
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        1 day ago

        The democratic and republican parties working together to make sure Americans dont get good things. Its hilarious that morons think the Dems are the good guys, and that if only it wasnt for all those damn repukes, they could have free healthcare. Meanwhile, the dems have been working hard to make sure that Bernie didnt win the nom in 2016, thus making sure that Americans didnt get free healthcare. Then again in 2020, when all the people up for the nom(all of which had a free healthcare plan) were told to do one, because Biden was the only one who could beat Trump. The fact he was also the only one up for the nom that didnt have a free healthcare plan is just a coincidence… And then again, in 2024, they gave Harris the nod after she dropped her free healthcare plan that she had back in 2020. But she was talking about… thats right, cheaper insulin… Funny that, huh?

        When you take away all the trans stuff and the immigration stuff and the gun stuff, you are left with two right wing parties that agree more than they disagree, and both are run by corrupt public officials in their 80s and backed by self interested donors.

        I have no idea what the solution is, but it sure as fuck aint the dems anymore than it is the repukes.

    • MisterFrog@lemmy.world
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      We have it decent in Australia, but for the Americans reading on, the bar is so ridiculously low you can walk over it.

      I hope one day Medicare can actually be universal, and not the private subsidy model we have currently.

      I dunno about you, but finding bulk billing is a pain the arse now, and in certain areas it simply doesn’t exist. Not to mention my premium mouth bones which aren’t covered for some stupid reason.

      I just wish we’d finally kill off private health. Private health is such a scam we only take out because we have a two tiered system and there’s a tax discount.

      I really don’t like Australians talking about how good we have it, when it’s kinda meh, and actively getting worse.

      That all being said, yeah, the PBS is pretty good and I’m glad insulin is affordable.

      Thank Christ we didn’t get the Libs back (for American readers, that’s the conservative party), we could do SO much better given how wealthy we are per person.

      But, anyone who doesn’t want to pay more in tax in order to get truly public healthcare doesn’t know how to do maths. We could just pay what we pay in private health premiums already, in tax, and we’d probably get way better care per person (because profit is inherently inefficient).

      Abolish private health.

      Thanks for being accosted with my rant.

      • rumba@lemmy.zip
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        2 days ago

        US user here: I REALLY appreciate the context. I hear surprisingly little about the Australian side of this kind of thing. Thank you!

      • spudsrus@aussie.zone
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        100% agree. Dental should be covered.

        I don’t mind private health existing but it should only exist without all the bs policy to force you into it and without leeching off public funding through tax breaks and Medicare funding.

        Bulk billing fortunately doesn’t impact me because I see a team at hospital outpatients for almost everything.

        Fortunately PBS brings one of my speciality meds down to affordability from a few hundo K per year.

        My big gripe at the moment is ndss funding for CGM sensors is non-existent if you aren’t type 1. So it’s ~100 per fortnight if you want good glucose monitoring but have some non type 1 need for them.

        • Tom Arrr@lemmy.world
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          After almost 20 years of big L Liberals in Aus, we should just consider ourselves lucky we still have Medicare. I want dental too, but I also want them to repair the basic model first

      • YeahToast@aussie.zone
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        I also hate private health, and in fact, cop the additional medicare levy on the chin because id rather pay 2-5k in tax that funds medicare, than get some junk private health cover. The problem with bulk billing is it’s so dependent on location. I have great GPs that can get an appointment within a day or two. More rurally you’re waiting 6-8 weeks and paying $90 a pop. Despite their being flaws in Australia you can still at least get emergency life saving care that won’t bankrupt your family. I’m not as well versed but there’s also the safety net for medications which I believe stops the horrendous out of pocket expense across a year

        • spudsrus@aussie.zone
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          Yep, safety net changes slightly each year but it’s usually based on the cost of a certain number of scripts.

          This year it’s $1,694.00 for general patients and $277.20 for concession card holders.

          When you hit it as a concession holder the cost becomes 0 and as general you get the concession card price for the rest of the year.

          This will be the first year of my adult life where I won’t hit it which feels pretty amazing. One new drug lets me drop multiple existing ones and not get sick as often.

    • Aljernon@lemmy.today
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      2 days ago

      I have a relative that needs about 1800 a month for their Insulin. They’re disabled but if they applied for disability they wouldn’t be poor enough to qualify for public assistance and the disability payments wouldn’t be enough to cover the price of insulin so they’re forced to live in poverty until they old enough to retire.

    • Aceticon@lemmy.dbzer0.com
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      2 days ago

      In Portugal - which has a National Health Service - I’m getting 5 pens for €0 with a doctor’s prescription (and there are mechanisms for just getting new prescriptions regularly or on request without needing to go for a doctor’s appointment every time), as would anybody else that needs it, by the way, as it’s not means tested.

      That said, without said prescription it would be about €70 for 5 pens.

      Also the local politicians are slowly but surely destroying the National Health Service in order to privatise Healthcare bit by bit.

      • Aussiemandeus@aussie.zone
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        Yeah that’s what we’re doing in Australia too, our Medicare system used to be great free doctors everywhere etc.

        Now they’re fewer and far between and private health companies got a boost from the government since the government said if you don’t have private health you will pay more in tax

  • Armand1@lemmy.world
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    2 days ago

    Controversial take (though maybe not in this community):

    If it’s needed for survival, it should be free. No exceptions.

    • JoeBigelow@lemmy.ca
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      I would much prefer my taxes go toward making insulin to give away than bombs to give away.

      • brygphilomena@lemmy.dbzer0.com
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        I’d even, gasp, go so far as to say I’d happily give it away to citizens and illegal immigrants alike. Oh hell, everyone on the planet. No strings attached.

        This is where my taxes should go. I can’t stand the rhetoric that it’s bad tax payers are footing the bill for those without insurance and those here illegally. That’s what a society is supposed to do.

          • surph_ninja@lemmy.world
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            Which was also an payout to big pharma. And we illegally used those programs to sneak in spies. While we’re blocking Cuba from distributing cancer vaccines and covid vaccines.

            Let’s not pretend we were good before this.

            • Aljernon@lemmy.today
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              There have been plenty of people involved in those programs talking about them online since they were repealed and that they aren’t motivated at the politcal level by altruism and that they have done an incredible amount of good in the world are both true statements.

              • surph_ninja@lemmy.world
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                Are you going to be grateful someone came to your home to give you medicine, if they use it to sneak in someone who will burn down your home?

                • Aljernon@lemmy.today
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                  What a terminally online hypothetical. IRL, people are insanely grateful to get free medicine and crushed that it’s gone.

                • misterred@feddit.online
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                  Surviving; paying attention; ensuring your family’s security and hopefully that of your community are all in no way mutually exclusive. Kooky deflective narrative.

      • whoisearth@lemmy.ca
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        Imagine giving Palestinians insulin instead of bombs? Instead we give them both and wonder why they get mad about the free bombs without looking at the free insulin. I mean how ungrateful are they? Can they not say thank you?!

        /s

    • Truscape@lemmy.blahaj.zone
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      2 days ago

      Devil’s advocate: Medi-CAL (California’s Medicaid program, already known for being very permissive) will likely already cover it for the eligible, and should the $11 be used in aggregate to cover distribution and manufacturing for all of California’s citizens, it would be a reasonable rate to keep the program self-sustaining.

      Allotting an exception for the payment for those who may have difficulty seems like a reasonable way to cover any gaps while making sure it never runs into the red.

      • vaultdweller013@sh.itjust.works
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        2 days ago

        The funny thing is if memory serves right insulin once you get it going is exceptionally cheap to produce. Unironically the 11 bucks may very well be the gross cost of production and transport per batch, probably not wages though.

        • Tollana1234567@lemmy.today
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          originally elly lily, novo nordis, and sanofi had a stranglehold on the different types of “extended release insulin” they were behind the lack of generics for a while. until they were able to come up with alternatives insulin not based on the formulaitons of the 3 companies.

        • misterred@feddit.online
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          In most likely scenarios the social amortization should cover everyone including production/transportation labor.

        • Truscape@lemmy.blahaj.zone
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          Realistically the transportation and labor side is the most expensive, yeah. If the economy of scale gets solid enough in like year 2 of the program it probably could be cut down in price further, but California’s a huge state that may have trouble lowering distribution costs.

          • vaultdweller013@sh.itjust.works
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            Would really depend on how and where production takes place at that point. I’m well aware of the states size, also I’m well aware that I’d rather drive through Nevada and Idaho to get to Washington over going through the central valley and Shasta.

            • Truscape@lemmy.blahaj.zone
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              Agreed. I love that this is rolling out in the first place though - I remember patients that had to leave the pharmacy because of their insulin being over $50 when I worked there. Hope that never happens again in this state.

              • vaultdweller013@sh.itjust.works
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                Honestly I hope this is a first step to state run hospitals and eventually universal healthcare. While it’s not an ideal way to go about it it’s probably easier overall long term than dealing with the preexisting mess that is the modern hospital system.

    • DupaCycki@lemmy.world
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      How about exceptions for rich people who can easily afford it at no noticeable impact to their livelihoods?

      • Armand1@lemmy.world
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        2 days ago

        Validating who earns too much or too little is a colossal task that leaves opportunities for people to lose access to food because they haven’t logged in that month to report their earnings.

        It also often costs more in bureaucracy, people and infrastructure than simply giving it to everyone.

        It also causes social stigma as you are seen as poor for using a service.

        If it’s available to everyone, then none of these problems occur.

        Rich people will typically self-opt out of these systems anyway, as they will want the better expensive version of the thing anyway.

        For case studies where this works, see:

        • Free school meals
        • UK NHS

        For places where the system doesn’t work because of income cutoffs, see:

        • UK benefits (working a little will cut you off, plunging you back into poverty
        • Basically all welfare programs
      • snooggums@piefed.world
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        No, because that just opens the path for the ever expanding “except for them” for a very small portion of the population.

      • Leon@pawb.social
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        I like this. Ultimately there shouldn’t be any rich people, but that’s a step we can figure out later.

    • Matombo@feddit.org
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      that’s how it works in most of europe with our socialist healthcare system

    • Aljernon@lemmy.today
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      Broadly speaking I agree but I don’t criticize shifting from exploitative to reasonably priced. An improvement is still an improvement.

    • canajac@lemmy.ca
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      This I agree with 100%. Why it isn’t a standard in the world is totally abhorrent. Anyone with health issues should receive medication for free or at a minimal cost to cover transport, delivery, etc.

    • x00z@lemmy.world
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      Not a viable take though. Housing, clothing, food… none of them are free either. A more viable solution is to control the markets by setting limits, like they did here, and then provide a safety net for people so they will always be able to buy this stuff. It would be nice if it was free, but it’s a long road to get there. Social politics can provide survival without abolishing stuff like money in the meanwhile.

      • Aljernon@lemmy.today
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        Some people feel like if you can’t provide society with your labor, you should still be fed, clothed, and housed.

        • SabinStargem@lemmy.today
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          IMO, people who don’t work, still contribute to society: raising family, being friends with people, creating art, and so on.

          Things that aren’t easily measured by the dollar bill, but key to a good civilization.

          • FosterMolasses@leminal.space
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            22 hours ago

            And arguably more important to the prevalence of human civilization. Otherwise, places like South Korea wouldn’t be so worried about their shut-in youth population and declining birthrates while being currently at the top of the world’s tech industry.

        • Bgugi@lemmy.world
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          I think essentially everybody agrees, the debate is where to put the lines for “can’t” and “needs”

      • explodicle@sh.itjust.works
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        Price floors and price ceilings reliably cause market failures like shortages and unemployment. If we’re not willing to let people die without it, then we end up playing stupid games like “free emergency room only”.

        Economics is a social science and every proposal should be based on empirical results, not intuition.

        • x00z@lemmy.world
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          Look at European economics. Healthcare isn’t free but sure feels like it. Lifesaving medication is not free but you can ask social services for the money that you need and you can always survive. Water isn’t free but if you can’t pay you get the money to buy water. “Free” can be the same as having a price and providing people with the funds to pay that price.

          So my argument was against “free as in beer”.

  • MashedTech@lemmy.world
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    NO! NO! NO! THIS IS SOCIALISM OR COMMUNISM! WHATEVER THIS IS! THIS IS BAAAD SO SO SO SO BAD! EVERYONE AROUND ME TOLD ME SO! SOCIAL MEDIA APPS INFLUENCERS TOLD ME SO THIS IS BAD! THIS IS AWFUL! NOOOO I DON’T WANT IT

    • FosterMolasses@leminal.space
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      22 hours ago

      Yep, time to flee the leopards to save their faces from being eaten.

      Shame there aren’t as many farming opportunities on the Pacific coast as there are out midwest. Oh well. I’m sure those ones will just have to pull themselves up by their bootstraps.

      • Lucidlethargy@sh.itjust.works
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        I have family that loves to say this. They moved from CA to live in a red, welfare state that siphons more federal funding than they generate.

        I remind them often that my state pays for their state.

      • Aljernon@lemmy.today
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        “I deserve-it/actually-need-it not like those other free loaders” is a very real attitude that many Americans have.

      • rafoix@lemmy.zip
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        What I don’t like is that it follows the piecemeal approach that centrist liberals do where it is always too little and ineffective for the entire population which makes it mostly invisible.

        “Let’s do socialism for 11% of the people while everyone else gets to pay taxes and get nothing”.

        • lIlIlIlIlIlIl@lemmy.world
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          “Perfect is the enemy of the good”

          Yeah no progress until we can instantly have 100% goal attainment!

                • rafoix@lemmy.zip
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                  Biden’s ineffective leadership and the centrist DNC gave America another Trump term. Trump should have been locked up immediately for their coup attempt.

                  For the record, I vote in every election including the primaries.

                  There’s nothing more reliable than a centrist attacking the base of the party for each and every single one of their losses. I’ve yet to hear Harris or HRC talk about their inept campaigns that keep trying to attract Republicans to vote for Democrats. It’s never going to happen. Maybe we can have a Cheney run the DNC.

                • WoodScientist@lemmy.world
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                  Sorry, trans folks have to have a longer time horizon than you might. If Democrats are allowed to slide into a full anti-trans platform, as their sister party in the UK did, then trans rights will be set back generations. If Democrats are allowed to abandon trans rights, it will be 50 years before those rights are regained.

                  Look, I just don’t respect someone mansplaining to minority group members about how you know their best interests better than they do. It’s arrogance of the highest order. For trans folks, the danger represented by having both parties be anti-trans exceeds the danger of even another Trump term. At least Trump is an old fat fuck who’s going to die soon. The Democrats going the way of Labor in the UK will subject American trans people to state repression for decades to come, with no hope of voting in any party who will help us. Frankly, from my perspective, it’s better for the Democratic party to completely die off than it is to allow anti-trans bigots to win simply because they have a D next to their name. At least then space would be cleared for an actual worker’s party to rise up. But really, for trans people, an anti-trans Democratic party is a much much greater threat than another Trump term. Because ultimately, state repression is state repression whether it’s wearing a red tie or a blue tie.

                  I’m looking decades into the future; you’re myopically focused on tomorrow.

                  Don’t want trans people to stay home? Simple. Don’t nominate a bigot for the Democratic candidate. You have three years notice. If you simply can’t help yourself and nominate a bigot anyway, don’t blame minority groups for refusing to vote for their oppressors. You’ll have no one to blame but yourself.

                  And frankly, at this point, anyone still saying, “vote blue no matter who” is a brain-dead muppet. It’s obvious now that that rallying cry is a one-way street. Progressives are supposed to hold their nose and vote for bigots, but that expectation never extends the other way. It’s just a cudgel used to blame minority groups for refusing to vote for their own oppression.

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            Look, I’m all for incremental progress, but you don’t start from a compromise position and then compromise further like the centrist Democrats have done whenever they’ve had power. You start with the hardline position (free, universal, single-payer healthcare funded by a progressive tax system) and then compromise from there only if necessary to get something done. Centrists stupidly think that they can get what they want without a fight by proposing something that’s already a compromise, but the hardline conservatives are just going to fight anyway and the centrists are forced to negotiate. The result is that the right always gets a favorable outcome and the left feels betrayed.

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            That is a saying by centrists for suckers. Nobody is asking for perfect. People want effective leadership.

            Seems like the only solution centrists support is stupid sayings to make people accept ineptitude and corruption.

            The DNCs ineffective leadership under Obama led to thousands of political positions lost throughout the country. They didn’t even bother locking up Bush and his cronies for their crimes.

          • WoodScientist@lemmy.world
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            Often the good is the enemy of the perfect. Obamacare was such a joke that it set the Democrats back a generation. They managed to get something passed, but their clinging to norms and refusal to nuke the filibuster meant that the bill was a pro-corporate mess so convoluted that people didn’t even realize they were benefitting from it. It legitimately helped people, but it also so sabotaged the Democratic brand that it set progress back decades in many fields. We got Obamacare, but we traded Roe v Wade for it. Without Obamacare, abortion would still be legal nationwide. People saw what Democrats would do even with a supermajority, and many voters just gave up on politics entirely due to Democratic corruption and timidity.

            • Aljernon@lemmy.today
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              We lost abortion because Democrats thought it was more important to keep it as a wedge issue to rustle up votes than to enshrine it in law.

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            My point is that the start is so small that it allows republicans to demonize and ultimately kill it since it doesn’t help the vast majority of people.

            • dohpaz42@lemmy.world
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              You’ve given up before you’ve even began (believe me, I know that feeling).

              But don’t let your paralysis leak out to other people. If you see someone taking baby steps to make this world better, you be their cheerleader. You give them your energy so that they can take bigger strides.

              And who knows, maybe in the process you’ll have taken your first baby steps too.

              • rafoix@lemmy.zip
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                I haven’t given up. I’ve seen these baby steps from centrist liberals for the last four decades. They’re stringing us along like donkeys.

                Centrist liberals will only do the bare minimum for the working class while fully enabling the capitalists.

                Homes, food, insurance, cars, etc are much more expensive than ever and wages are not even close to catching up. Corporate profits are through the roof though.

                Tell me how 8 years of Clinton plus 8 years of Obama plus 4 years of Biden improved the life of Americans. That’s 20 years of millions of Americans dying from being denied care and/or going bankrupt because they got sick.

                All they did was stabilize the markets for capitalists.

                • dohpaz42@lemmy.world
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                  2 days ago

                  Tell me how the republicans have done any better.

                  Look we can sit here and back and forth all day long. Yes, our system fucking sucks donkey balls. Will it get better? Who the fuck knows. But I guaran-fucking-tee you that shitting over things like affordable insulin is not the way to go. We gotta take our wins where we can. And when our centrist D’s don’t, we gotta get out there and hold their feet to the fire; whatever that means.

                  But giving up is not a fucking option, because that’s how we got Trump and friends in the first place. And look at where that’s got us.

                  We gotta a fucking gestapo in the US. We are at the cusp of a new nazi regime. And NOBODY that matters is freaking out about it.

                  What. The. Fuck.

                  So you know what: I’ll take a state 3,000 miles away from me FINALLY doing something right. Even if it’s not perfect. Because right now I need some goddamned good news. Even if it doesn’t affect me personally. Because what else do I have, if not that?

                  Just give me a goddamned gun otherwise so I can paint my walls in red.

            • qjkxbmwvz@startrek.website
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              2 days ago

              Edit: as pointed out below, these numbers are for type 1 and 2, so the population is requiring insulin is much lower than this.

              Among the U.S. population overall, crude estimates for 2021 were:

              • 38.4 million people of all ages—or 11.6% of the U.S. population—had diabetes.

              • 38.1 million adults aged 18 years or older—or 14.7% of all U.S. adults—had diabetes (Table 1a; Table 1b).

              https://www.cdc.gov/diabetes/php/data-research/index.html

              Sure, the majority of folks don’t have diabetes, but come on, this affects a huge number of people, and I would bet that a vast, vast majority of people at least know someone with diabetes.

              And yes, those are national whereas this is California—but it’s also about changing hearts and minds. When someone from Texas, struggling to pay for their kid’s insulin, learns about this, they might just question some things.

              • rafoix@lemmy.zip
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                2 days ago

                11% is not insignificant. It’s just too small and it leaves most people out. I can already see the “most diabetic people make themselves diabetic” talking points.

                The ACA was supposed to be transformative but it ended up being more of a patients’ bill of rights that anything to make care affordable.

                Baby steps gave us Trump and their fascists regime. America needs someone with vision like FDR that isn’t afraid of upsetting the wealthy donors.

            • Aljernon@lemmy.today
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              2 days ago

              Sometimes that may be true but neurologically, empathy is often driven by experience and most people have a relative with diabetes and many people have a diabetic relative who struggles financially with it. This would be hard to demonize.

        • HellieSkellie@lemmy.dbzer0.com
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          2 days ago

          This reads like you’re saying diabetics don’t deserve cheap insulin in California. This is not too little and is not ineffective for the people living in poverty with diabetes.

          • rafoix@lemmy.zip
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            1 day ago

            I’m just tired from the lack of progress. It shouldn’t take decades to fix simple things but centrists love money too much.

  • QuantumTickle@lemmy.zip
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    2 days ago

    I’m curious about the formula. My wife has jumped around a few different insulin companies and while they all had the same active ingredients, the inactive ingredients played a major part in her absorption.

      • Tollana1234567@lemmy.today
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        1 day ago

        type 2 can afford to ration thiers if they need insulin, but less likely for type 1, since they are insulin deficient and they need to have a constant supply, or they get KETOACIDOSIS.

    • Tollana1234567@lemmy.today
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      when i was visiting the r/ diabetes, yea there are different kinds of insulin from the 3 companies. theres seems to be delayed released, or immediate release, or another that works later than normal gradually to help regulate it more easily. is your wife type 1? i know type 1 uses CGM(sensors and the device) the and insulin pumps to moniter thier insulin levels, also super expensive. this is how the companies like elly lily, sanofi, and Novo nordisk can GOUGE people, because they have trioply for insulin for a long time.

  • SapphironZA@sh.itjust.works
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    2 days ago

    $11 per month, that’s only about double what it costs in most of the world. Wait… Still $11 PER PEN

    Wtf did it cost before!!??

    • Truscape@lemmy.blahaj.zone
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      2 days ago

      As a former pharmacy worker in California, anywhere from $40 to $200, depending on the patient’s insurance. There’s a reason Eli Lily and other companies monitor the supply truck drivers and call the cops if they stop.

    • Soleos@lemmy.world
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      2 days ago

      At 3ml/pen and 100units/ml, that puts it on par (retail price) with Canada and Germany and around 50% more than France and UK.

      As with a lot of US health prices, listed prices are massively inflated compared to average out of pocket expenses, creating horrible holes for uninsured people. In the US there are some recent caps for insulin cost of $35/month at the low end, and other caps in the $100/month range from what I’ve read.

      Here is a good price comparison https://pmc.ncbi.nlm.nih.gov/articles/PMC11147642/

  • BarneyPiccolo@lemmy.today
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    2 days ago

    We can’t afford this, Argentina needs $40 billion so their leader can get a haircut that doesn’t make him look like the manager of a rock band in the 70s.