<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>unglaublich</author><text>&amp;quot;Diabetic friend had trouble finding his preferred formulation outside the U.S.&amp;quot;
In European countries, there are about 20 formulations available, all well below 10 USD per vial of which 100% is compensated by the obligatory health-insurance.
There is no market for marginal improved, extremely overpriced medicine outside of pharma-marketing heavens.</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>