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Individuals most impacted by the rising cost of insulin are the uninsured and the under-insured. These patients are forced to pay the ever-increasing retail sale price (which is increasing due to a variety of factors, including increased wholesale price) or a percentage of this price when buying insulin.
If you index insulin's price to inflation and compare apples to apples, the average cost in the US has actually dropped from 1978, when I started using it, to 2013. I became overt type 1 back in 1978, and insulin wasn't coverd by my insurance.