Don't forget that switching insulin is not easy. You have to adjust and refine the amounts you take for several days or even weeks, while closely monitoring you

Don't forget that switching insulin is not easy. You have to adjust and refine the amounts you take for several days or even weeks, while closely monitoring your blood sugar during that period. It's stressful and unpleasant. Here, you are forced to do that once (one year before the patent runs out) and it sucks. Why do it twice? If the insurance company covers the new insulin anyway? But the insurance company masks the real price. All our insurance policies are getting more expensive and cover less because we are all paying for it, together. We all know it, but we all take the easy way out. Including me. You are right, it is deeply unethical. Europeans more often think holistically about health care (and its cost), which is a good thing. In the US, health care (and its cost) is primarily driven by corporations whose primary goal is profits and shareholder value. They are not aligned.