I can feel empathy for those who find themselves in an emergency situation, even if they are partially to blame through lack of planning. And I understand that there is more than enough blame to go around — big pharma, politicians, etc. But I also understand that none of those contributors is likely to change quickly.
I gave some thought to what I would do if I suddenly was placed in a situation of limited income and insurance. While it would not be a change I would welcome, I would survive. There would never be any thought of rationing my insulin or other diabetes supplies. As others have noted, insulin at Walmart and perhaps other places can be had for $25/vial. And blood sugar strips at Walmart or Amazon are less expensive today than what I was paying for many years.
But what separates many of our forum members from the general diabetic population is the knowledge of how to adjust to different insulins. I could be wrong, but I suspect that many of our forum members could make it with older insulins and fewer tools than are currently available. Reforms in our political system and reining in big pharma are desirable goals long-term. But many people could be helped immediately with the right education. Of course, the people most affected by a financial crisis are often the least prepared to get that education. However, I think public awareness could be raised by articles and public service announcements on how to cope with diabetic emergencies.