[sithlord]

There are really 2 major makers of insulin Norvo and Elli and another that isnt near as popular, Apidra. Each insurance company has a 'preferred' where you only have 1 choice.

So, with that I dont feel like there really is any competition. A good step forward might be to disallow insurance companies from having 'preferred' brands.

[RPLong]

Not a bad idea at all. I'd prefer that insurance companies weren't involved at all, but as a second-best option, I'd prefer if the insurance companies allowed the pharma companies to compete with each other for my business!