Explainer: Why is insulin so expensive and difficult to cap?

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Explainer: Why is insulin so expensive and difficult to cap?
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Democrats are considering capping the cost of that drug for at least some, although it's unclear what the final proposal will look like and how many insulin users will get a price break.

By AMANDA SEITZ, Associated Press WASHINGTON — Reining in the soaring prices of insulin has thus far been elusive in Congress, although Democrats say they'll try again — as part of their economic package that focuses on health and climate. The price of the 100-year-old drug has more than tripled in the last two decades, forcing the nation's diabetics to pay thousands of dollars a year for the life-saving medication.

People are also reading… "People require insulin, it's not an option and nobody should have to decide between life-sustaining medication or food and rent," said Dr. Robert Gabbay, the chief scientific and medical officer for the American Diabetes Association. WHY IS INSULIN SO EXPENSIVE? Only three manufacturers — Eli Lilly, Novo Nordisk and Sanofi — produce insulin, allowing those companies to control much of the market.

A biosimilar insulin product the Food and Drug Administration approved last year, however, has been more expensive than advocates had hoped, Gabbay said.Senate Majority Leader Chuck Schumer has said some language that limits the price of insulin will be added to the economic bill, but it's not clear what that price point will be and who all will be protected by that price cap.

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