I haven’t had Type 2 diabetes (yet) but I have experience with gestational diabetes which is treated almost exactly the same. And here is my conclusion: even with a very good insurance, this is not a cheap disease to have.
Copays for doctor visits, Metformin, insulin, lancets, test strips, syringes, syringe-disposal boxes, alcohol pads, skincare products, etc easily come up to $150-200 per month. Diabetic – friendly diet of the kind that will help you not drop off with a heart attack in a few years is quite costly. Diabetics have to be physically active, so a gym membership is indispensable. And the best, most helpful thing for people with diabetes mellitus is psychological assistance of the expensive kind (meaning the drug-free one).
The problem, though, is that Type 2 diabetes is not an illness limited to the rich. It’s very likely to develop in people who are lucky to have any health insurance at all, let alone all the extra cash and resources that I enumerated.
Plus, it’s an illness that requires a very stable lifestyle and the capacity to control one’s routine to at least a degree. For instance, I met this woman with gestational diabetes whose boss wasn’t letting her have any snack breaks and constantly messed with her lunch break. And this sort of instability is very bad for diabetics.
Diabetes is not a rare disease. There are millions who are diabetic or pre-diabetic in this country. (Although the numbers have plateaued in recent years, which is good.)
The point that I’m trying to make is this: getting everybody health insurance is just the baseline. It’s crucial but insufficient. I would have never found out how deeply involved the disease is with issues of class if I hadn’t gotten it myself. And it’s important that everybody realize how much more difficult poverty makes treating illness even if people have insurance.