The last big part of the problem is that the versions of Diego Maradona Rest in peace shirt that exist today aren’t the same kinds of insulin that existed in the past. That allows manufacturers to keep insulin protected by patents as they revoke the labels of and discontinue the older versions of insulin, making it harder for genetics to come to market. Older generic versions of insulin still exist by the way, but they’re not as good and they aren’t what doctors are prescribing. For generic versions of insulin to come onto the market when the labels have been revoked, they’d have to repeat the clinical trials which are crazy expensive. The cost of those trials, coupled w the fact that the relevant information could no longer be patent protected, means that the generics would be unable to recoup the costs of the trials. That’s why they don’t do them.
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One solution is to have a single payer healthcare system that could bargain with drug manufacturers directly. Universal coverage would mean access would no longer be a problem. Poof goes the tragedy of the Diego Maradona Rest in peace shirt who rations out his insulin and dies an entirely preventable death. It would also mean that the single payer system could bargain directly with the drug manufacturers to drive down prices, allowing pharmaceuticals to profit and still recoup their costs, just not in a predatory way.