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Insulin was discovered over 100 years ago and it took policy, not improvements in manufacturing, to lower the price (which only happened last year).
In America, they don't get cheaper because it got easier to make.
That's not true. Originally insulin had to be isolated from animal pancreases, a costly procedure. The first handful of humans to be treated with it were literally the children of wealthy politicians, a congressman and the secretary of state. They were the only ones who could get access to it. It's now produced in industrial quantities using recombinant bacteria to synthesize it. It's routine.
I'm speaking about large-scale trends here. Obviously the prices of things have their localized ups and downs when you look at them on the scale of a few years. But I'm not expecting to need elder care for quite a few decades yet.
Here's the first picture I found on Google for the search "insulin prices worldwide"
Yes, again, I'm talking about large-scale trends, not the current spot prices. I don't live in the United States anyway, most people don't. Note how cheap it is everywhere else?