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Skyrocketing health care costs leave an increasing number of Americans uninsured or with less meaningful coverage than they need and deserve—especially the 24 million Americans with diabetes.1 The results of a recent survey found that 72 million, or 41 percent, of nonelderly adults have accumulated medical debt or experienced difficulty paying medical bills in the past year – 61 percent of whom had insurance.2 Any medical event, like the diagnosis of diabetes, could place a person at risk for potentially devastating financial costs, even if they have health insurance.

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The prevalence of diabetes more than doubled over two decades from 1986 to 2006,3 making diabetes the fifth deadliest disease in the nation.4 And its prevalence is expected to continue to grow in the coming years, as risk factors such as obesity, high cholesterol, and high blood pressure continue to rise.

Families with a member who has diabetes not only shoulder the emotional burden of caring for a sick loved one, but also the economic burden of the growing cost for treatment. Diabetes cost the United States $174 billion in 2007, an increase of $8 billion per year over the last 5 years. The total cost is a combination of $116 billion in direct costs of treatment and $58.3 billion in indirect costs of lost productivity.5

People affected by diabetes are particularly aware of these rising costs, as they have medical expenditures more than twice as high as those who do not have diabetes, with total annual health care costs for a person with diabetes topping $11,744 in 2007.6

Individuals with diabetes are at an increased risk for stroke, heart disease, blindness, amputation and kidney failure, making regular physician visits a necessity to properly manage the disease. Prescription medications including vials of insulin and/or oral medications are also a necessity. And patients with diabetes at home must monitor their blood sugar levels frequently using blood glucose monitors and test strips.

Physicians recommend that people with diabetes test their blood sugar levels two to six times a day. Because most test strips are monitor-specific, a box of 100 test strips can cost up to $60.7 Additionally, the price of a vial of insulin can range from $30 to $70, mainly because generic brands are not manufactured in the US. Many patients find that their insurance does not adequately cover these costs, making treatment unaffordable and inaccessible.8

HEALTH INSURANCE CHOICES FOR PEOPLE WITH DIABETES
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