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Invited Commentary
December 3, 2018

When High Prices Mean Needless Death

JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.5007

I have spent the last 5 years of my life as a journalist writing about the irrational costs and prices across the US health care system. But if there is 1 fact that should cause national embarrassment it is the high price tag we affix to living with type 1 diabetes.

The medicinal and technological advances of the last century have turned type 1 diabetes from a rapidly fatal disease into a treatable illness. But doing so takes discipline and care—as well as increasingly expensive technology and medicine—that is far more expensive in the United States than elsewhere.

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