<instructions>Your goal is to analyze the following comment and estimate how highly it will be upvoted by the Hacker News community.</instructions><comment><author>gdy</author><text>In Russia all patients get their insulin for free thanks to mandatory health insurance (5.1% of your net salary additionally paid by employer).&lt;p&gt;If for some reason you would want to buy insulin, it would cost you 2-12 usd per vial&amp;#x2F;cartridge (3ml x 100units)&lt;p&gt;A cartridge of most modern European or American rapid insulin costs 5 usd [0][1] and the most modern long or ultralong insulins cost 9-12 usd [2][3]. Russian own insulins cost 2-4 usd per vial&amp;#x2F;cartridge.&lt;p&gt;Do you know why the same companies charge you at least 10 times more than a Russian citizen?&lt;p&gt;I wander what are the &amp;#x27;huge problems with healthcare in America&amp;#x27; if overpaying 10 times for insulin isn&amp;#x27;t one of them?&lt;p&gt;[0] &lt;a href=&quot;https:&amp;#x2F;&amp;#x2F;apteka.ru&amp;#x2F;product&amp;#x2F;apidra-solostar-5e32673ae911440001b7636b&amp;#x2F;&quot; rel=&quot;nofollow&quot;&gt;https:&amp;#x2F;&amp;#x2F;apteka.ru&amp;#x2F;product&amp;#x2F;apidra-solostar-5e32673ae911440001...&lt;/a&gt;&lt;p&gt;[1] &lt;a href=&quot;https:&amp;#x2F;&amp;#x2F;apteka.ru&amp;#x2F;product&amp;#x2F;xumalog-5e327a1eae8baf00014d54fa&amp;#x2F;&quot; rel=&quot;nofollow&quot;&gt;https:&amp;#x2F;&amp;#x2F;apteka.ru&amp;#x2F;product&amp;#x2F;xumalog-5e327a1eae8baf00014d54fa&amp;#x2F;&lt;/a&gt;&lt;p&gt;[2] &lt;a href=&quot;https:&amp;#x2F;&amp;#x2F;apteka.ru&amp;#x2F;product&amp;#x2F;lantus-solostar-5e32673a3d4c470001e08f91&amp;#x2F;&quot; rel=&quot;nofollow&quot;&gt;https:&amp;#x2F;&amp;#x2F;apteka.ru&amp;#x2F;product&amp;#x2F;lantus-solostar-5e32673a3d4c470001...&lt;/a&gt;&lt;p&gt;[3] &lt;a href=&quot;https:&amp;#x2F;&amp;#x2F;apteka.ru&amp;#x2F;product&amp;#x2F;tresiba-flekstach-609a3db8c93e31dd14f98e54&amp;#x2F;&quot; rel=&quot;nofollow&quot;&gt;https:&amp;#x2F;&amp;#x2F;apteka.ru&amp;#x2F;product&amp;#x2F;tresiba-flekstach-609a3db8c93e31dd...&lt;/a&gt;</text><parent_chain><item><author>JumpCrisscross</author><text>Walmart sells insulin for $25 per vial [1]. There are cheaper offers, still.&lt;p&gt;The problem is there are newer formulations with advantages in terms of convenience, safety and durability. These require R&amp;amp;D to develop and are not universally available. (Diabetic friend had trouble finding his preferred formulation outside the U.S., U.K. and Sweden, for instance.)&lt;p&gt;We have huge problems with healthcare in America. But the insulin meme is misleading to the point of derailing discussions about legitimate reform.&lt;p&gt;[1] &lt;a href=&quot;https:&amp;#x2F;&amp;#x2F;diabetesstrong.com&amp;#x2F;walmart-insulin&amp;#x2F;&quot; rel=&quot;nofollow&quot;&gt;https:&amp;#x2F;&amp;#x2F;diabetesstrong.com&amp;#x2F;walmart-insulin&amp;#x2F;&lt;/a&gt;</text></item><item><author>elnatro</author><text>This kind of projects are totally alien for me, because of the paid-by-taxes Healthcare I have in my European country.&lt;p&gt;Aren’t there any initiatives in some US states to make socialized healthcare?</text></item></parent_chain></comment><story><title>Open Insulin Foundation</title><url>https://openinsulin.org/</url></story>
<instructions>Your goal is to analyze the following comment and estimate how highly it will be upvoted by the Hacker News community.</instructions><comment><author>elnatro</author><text>The insulin Walmart sells is not the best insulin, and the chemical composition of the insulin is important. Not all insulins are the same, and no everyone reacts the same to all insulin types.&lt;p&gt;That’s not “a meme”, a bad type  of insulin can kill you or send you to the hospital.</text><parent_chain><item><author>JumpCrisscross</author><text>Walmart sells insulin for $25 per vial [1]. There are cheaper offers, still.&lt;p&gt;The problem is there are newer formulations with advantages in terms of convenience, safety and durability. These require R&amp;amp;D to develop and are not universally available. (Diabetic friend had trouble finding his preferred formulation outside the U.S., U.K. and Sweden, for instance.)&lt;p&gt;We have huge problems with healthcare in America. But the insulin meme is misleading to the point of derailing discussions about legitimate reform.&lt;p&gt;[1] &lt;a href=&quot;https:&amp;#x2F;&amp;#x2F;diabetesstrong.com&amp;#x2F;walmart-insulin&amp;#x2F;&quot; rel=&quot;nofollow&quot;&gt;https:&amp;#x2F;&amp;#x2F;diabetesstrong.com&amp;#x2F;walmart-insulin&amp;#x2F;&lt;/a&gt;</text></item><item><author>elnatro</author><text>This kind of projects are totally alien for me, because of the paid-by-taxes Healthcare I have in my European country.&lt;p&gt;Aren’t there any initiatives in some US states to make socialized healthcare?</text></item></parent_chain></comment><story><title>Open Insulin Foundation</title><url>https://openinsulin.org/</url></story>