Because Minneapolis is asking about detention scenarios

Let’s just talk about this….

When I was in grad school, the state would threaten me with jailtime for being diabetic (that’s the quick and dirty). What I did was ALWAYS have a few weeks of medications on my person. I have a giant purse for that. Jail nurses & jail medical care can be kinda ■■■■. Diabetics die in jail, so it’s not a small concern for us. If you are someone who is at risk of losing consciousness due to a medical condition, it’s OK to write the name of that condition (say “epilepsy”) in permanent marker on your body where they are guaranteed to see it without removing clothing (army medics would write it directly onto your forehead).

This is a great time for anybody with a medical condition to have their med tags in order. What is a med tag? Med tags are like dog tags (like soldiers wear in the army). They state your name, medical conditions, and any medications you take. Those should be of a sturdy quality (like an army dog tag) that can’t be torn off you during a physical confrontation.

It’s OK to have a lawyers number written somewhere on your body with permanent market if you are walking into a high risk situation (or, just for the next couple weeks). You want to talk to that person BEFORE anything bad happens.

If you are a diabetic, know that your insulin pump is likely to be taken from you so I need you to KNOW, by memory, how much insulin you take via a syringe dose (background and meal insulin). You may need to do some testing NOW in order to know what that dose is. Tell your doctor what that dose is. You should not expect to be able to self administer insulin. Nurses will likely under administer insulin to prevent lows. They do that in hospitals and they do that in jails because it decreases their immediate liability. But the result is that you are very likely to get very sick, very quickly. Eating might not be an option while you are detained if they run you super high. They will. That makes it REALLY important that you have an attorney immediately - not after 2 days - Immediately. https://diabetes.org/sites/default/files/2025-01/The-Legal-Right-to-Medical-Care-in-Detention-Facilities-Fact-Sheet-2023.pdf If this situation arises, I want a call made to American Diabetes Association IMMEDIATLEY. The lawyer or family needs to do that.

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Consider what could happen to Novolog (Danish product) and other diabetes products supply chains if the Greenland thing escalated. Current affairs are scary as a diabetic (and I don’t even live in your country) :fearful:

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The only company that produces insulin in the USA is Eli Lilly, I’m not sure about the supply chain.

If we lose insulin from Denmark and France, those who react badly to Lilly insulins are up the creek without a syringe.

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Novo already has a “strategic manufacturing facility” in the US and Sanofi, in their forward looking projections for May 2025 announced they’d be getting one soon. GSK, once (originally) a manufacturer of insulin, also announced recently that they were committed, totally, to making such an investment for sure.

Don’t worry about it; Wyden has ensured that insulin is a thing that must not be denied. I’m not sure separating insulin from health care is a good idea but he did it. Achieve what you can achieve; finger in the dyke stuff.

@mohe0001 's comment is still the topic. I don’t know what I’d do, other than die. Yeah, I have a lawyer but, uh, so what? My pancreas is in a cellphone. I simply don’t believe @mohe0001 's assertion [expletive removed]:

Don’t they just go by body weight?

Agreed.

They are gonna control your insulin dose, just like in a hospital setting.

But if you know your doses, you will know how much they are underdosing you. That will give you some estimate of how long you can fare before you get super sick from hyperglycemia - if you need to not eat, if you need to chug water, if you need to run in place - all those strategies for when we don’t have enough insulin.

I think it’s also OK to blanket notify any kids that are considering going out into the streets, what the experience and associated risks are of having someone else in charge of your medications.

I know the nurse who works in my county jail. I trust her. She trusts me (as much as she trusts anyone). We worked a patient together on the street some years ago. I heard her yell out my name when someone collapsed. But, there’s staff coming in from out of town and no one knows them or their capabilities.

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A diabetic texted me today because there was some rustling in the bushes. No one knows what it means. It shouldn’t really be happening at all. https://www.fiercehealthcare.com/regulatory/ftc-evernorth-near-settlement-case-over-insulin-prices I’m asking around.

@CarlosLuis you mean at scale , because the state of California also produces insulin in the US and intends to sell to other states at a profit.

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Currently that’s CalRx insulin glargine a biosimilar of Lantus. No rapid yet

It’s supposed to be available this summer last I heard.

Aspart and Lispro are in the 2nd wave release.

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The two people on the FTC who had recused themselves unrecused themselves in April 2025, so now things can move forward. Settling out-of-court prevents the matter continuing, for example if another member of the FTC who had not recused herself is decided by the courts to be elligible.

Just a conspiracy theory of course; I have absolutely no evidence to suggest that the two Republican representatives are not acting in good faith to bring this issue to a speedy conclusion. cf your own questions on the original thread, which is here:

It would be foolish of the interested parties to delay a settlement if they believed their sponsors were about to back-peddle, or be defeated in court, or both. I guess we’re back on topic now.

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The only person who I think knows what’s going on, aint talking.

Part of the problem is that we are in weird governmental state where no one has any confidence about what the law actually is. The government isn’t behaving in a conventional manner, so there’s a lot of uncertainty (and as I argue, opportunity). In this day and age, if we plan for a worst case scenario, it’s seems plausible that FTC settles without waiting on a ruling from the supreme court (potentially calling into question the validity of that settlement). But at least we would have some information. Maybe the Supreme Court later comes back and says that settlement isn’t valid because a had been judge was removed in a way that was illegal and needed to be re-seated.

One semi-reliable perspective (when I inquired about state lawsuits against the insulin manufacturers) was that FTC makes law that governs future behavior. It in no way impedes state lawsuits. It, in fact, strengthens them. Those state lawsuits pass judgement on how a company behaved in the past. Oregon wants 900 million.

Basically, every single state will file a lawsuit with insulin manufacturers and be awarded damages. Diabetics don’t get any $ - that all goes to the state. Minnesota is the only state that has settled such a lawsuit, so the 51 states are still at play.

That’s where you start to hit these walls where you risk bankrupting the companies or them simply not being able to pay damages from harm they caused. You don’t want to implode these companies, but you want to force change in business practices. It gets hairy, right? We don’t want the healthcare system to implode.

No details at all about the PBM side of this lawsuit.