this post was submitted on 27 Dec 2023
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Interpret improvements as you like. For me it's any large scale reforms or legislative packages designed to improve the country for all or see to the material interests of the majority without overly benefiting the elite.

Any big consumer protection, environmental, infrastructure, or other legislation from Clinton onwards that materially improved the lives of all?

Obamacare and the medicaid expansion comes to my mind. It has obviously improved people's lives but considering how broken the healthcare system remains, and that it was written by the insurance industry to undermine single-payer, it seems to me a mitigated win at best.

Gay marriage and marijuana legalisation but that was the courts and the states although i'm sure the federal government could've stood in the way had they chosen to.

I've only live here since the 2010s so that's all I can think of.

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[–] [email protected] 69 points 1 year ago (1 children)

The inflation reduction act is probably the most significant piece of climate change policy in American history and is expected to bring emissions to a little under half 2005 levels.

Also, I think it capped insulin prices at $35 a month? That was the hope anyway.

[–] [email protected] 21 points 1 year ago (4 children)

I'll be paying 380 ish bucks for insulin this coming month, only using my "good, professional job" type insurance to cover some of the cost. It's around 200/mo. Cheaper to buy from Walmart directly without insurance than it is to process it through it at my required pharmacy. I don't know if the insulin caps have taken effect, or if I don't qualify, all I know is I'm getting screwed because I'm alive and want to stay that way.

The rest of the policy seems cool, but won't be if it pans out like the insulin crap.

[–] [email protected] 11 points 1 year ago (1 children)

Goddamn, America you never cease to find new ways to disappoint me.

It seems to vary state by state, though also for anyone on medicaid/medicare. You might be screwed by that professional job insurance!

I dunno if it helps but some googling took me to this diabetes resource Which seemed pretty good. Might be worth checking as this seems like stuff you have to look into vs having it happen automatically because why not screw us one more time?

[–] [email protected] 0 points 1 year ago* (last edited 1 year ago) (1 children)

Americans just won't help them goddamn selves. The same people who piss and moan about socialized medicine are chapping at the bit to install the orange shitbag as a dictator. These people are dead set on being rotten to the core.

[–] [email protected] 0 points 1 year ago (1 children)

Not all of us! But yeah.. idk what some of are thinking

[–] [email protected] 2 points 11 months ago

Not all of us!

Not even MOST of us. Trump lost the popular vote in both Presidential elections he was in.

[–] [email protected] 7 points 1 year ago (1 children)

Someone tried to explain this to me once. They said that the original formulas for insulin are really cheap, it's just the manufacturers have all agreed to only make the expensive formulas to maximize profits since it's not in their best interest otherwise.

[–] [email protected] 1 points 1 year ago

Collusion between a small number of players to control prices in a market is called a “cartel” and it’s a significant departure from the concept of a “free market”.

Cartels happen in markets that are not free, because in a free market that price fixing would lead to insulin sales being so profitable that new manufacturers would get into the game and the competition would bring prices back down to their normal levels.

One can argue whichever way they like for the overall benefit of the tight regulations we have on things like insulin production and distribution, but it is a fact that one effect of that tight regulation is extremely high barriers to entry, and hence the formation of price cartels such as we see now.

[–] [email protected] 5 points 1 year ago* (last edited 1 year ago)

The $35/month in the IRA goes into effect for Medicare part D jan 1st. So at the moment, it has not kicked in and you apprently do not qualify.

However, it spurred the biggest insulin producers to cap insulin prices to $35 for most everyone, including people on private insurance, starting Jan 1st.. This is undoubtedly to prevent regulation forcing them to reduce prices, but it will likely stick due to that threat.

So congrats, you should be saving $165/month starting in a few days.