Insulin an issue in Ga. Senate runoff
Cost of medicine in a state with high rate of diabetes resonates
MACON, Ga. — The runoff election for Senate in Georgia has not lacked for drama, with a fresh round of attack ads, a fevered get-outthe-vote effort and both sides casting the outcome as pivotal for the nation’s future even though control of the chamber is no longer at stake.
But one campaign issue relevant to many voters has little to do with the highly partisan horse race. Rather, it involves one of the most common chronic diseases in the U.S., diabetes, and the soaring cost of the medicine used to treat it, insulin.
In both the general and runoff campaigns, Sen. Raphael Warnock, the Democratic incumbent, has made much of his efforts in Congress to cap the price of insulin at $35 a month, talking them up in ads, debates and speeches.
“It has resonated with just about everyone,” said Dr. Kris Ellis, a physician who also owns the Bearfoot Tavern in Macon, where Warnock made a recent campaign stop. “If you don’t have diabetes, you know someone with diabetes.”
He was describing an unsettling reality in Georgia, as in much of the South, where diabetes rates are staggeringly high and the escalating cost of insulin over the years has led to painful choices and, for some, catastrophic consequences.
“I have someone in my family with diabetes who couldn’t afford insulin,” Tony Brown, 57, said on a recent afternoon as he walked into a building in downtown Macon, where he works as an engineer. For that reason, he said, he would turn out one more time to vote for Warnock in
Tuesday’s runoff.
As campaign issues go, the price of insulin is nowhere near as contentious as just about everything else raised in the four-week runoff between Warnock and Herschel Walker, the former football star who is
his Republican challenger. Even so, interviews with Ellis and a number of other voters suggested it had broken through the noise of the high-decibel contest, which Georgia requires because neither candidate won a majority of the vote
in the general election.
Warnock has focused on lowering insulin prices since arriving in the Senate nearly two years ago, motivated in part by hundreds of letters that have poured into his office, pleading with him to do something. He has also described seeing the ravaging effects of diabetes, including losing limbs and eyesight, on congregants at Ebenezer Baptist Church in Atlanta, where he is the senior pastor.
“This isn’t an ideological matter, it’s a practical one — and it has broad support across the political spectrum,” Warnock wrote in the spring in an opinion essay published in the Atlanta Journal-Constitution.
Earlier this year, he introduced legislation that would require both Medicare and private insurers to cap out-of-pocket costs for insulin at $35 a month. The
average out-of-pocket cost per prescription reached $54 in 2020, according to an analysis by the Kaiser Family Foundation, which also found that many patients pay significantly more for diabetes care.
The proposal gained bipartisan support, including from Republican senators representing Mississippi and Louisiana, states where diabetes rates are higher than Georgia’s.
The price cap for Medicare recipients was folded into the Inflation Reduction Act, the sprawling $370 billion spending package signed by President Joe Biden in August. But the cap for privately insured Americans was stripped out, even though seven Republicans joined all 50 members of the Democratic caucus in an effort to preserve it. Warnock continues to push for it.
Walker has said that he, too, supports lowering insulin costs and has noted that his mother takes insulin. But his campaign has dismissed the $35 cap as insufficient and suggested that people struggling with diabetes are victims of a failure by the Biden administration and Democrats to rein in inflation.
“I believe in reducing insulin, but at the same time, you have to eat right,” Walker said in a televised debate with Warnock in October. “Unless you are eating right, insulin is doing you no good. So you have to get food prices down, and you got to get gas prices down, so they can go and get insulin.”
Renee Rayles, who has Type 1 diabetes, said Walker’s comment suggested he did not understand how necessary accessing insulin is for patients like her, whose diabetes cannot be managed with diet.
“Without insulin, we will die, and we will die quickly,” said Rayles, an actor in Atlanta and advocate for diabetes patients who runs the website diabettie.com.
Just over 12% of adults in Georgia have diabetes, according to the American Diabetes Association, a rate that is among the worst in the country.
Some patients have reported rationing their prescriptions or forgoing them altogether as the prices of diabetes medications have exploded. The cost of the four most popular kinds of insulin have tripled over roughly the past decade.
“I’ve seen it over and over and over again: People will go without their medicine,” said LaTosha Brown, a co-founder of Black Voters Matter, a civic engagement organization based in Atlanta. “They will cut back. I know people who have split pills. It really is that chronic. And so it becomes more pronounced when there is an economic crunch.”