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Health

A new company is going to sell $30 vials of insulin. No insurance needed.

diabetes, insulin prices, civica rx

The price of insulin is sky high.

The price of insulin has skyrocketed over the past decade. In fact, per-person spending on insulin, for those with employer-paid health insurance, doubled between 2012 and 2016. Today, the average list price for a vial of insulin for people without health insurance is $300 and some people need six per month. For those with insurance, the cost of the copay can vary from $30 to $50 per vial (though that could be much higher for people on a high-deductible health plan).

In Canada, a vial of insulin costs $37.99.

More than 8 million Americans with diabetes depend on insulin to survive. The high cost of the drug has forced one in every four people with diabetes to ration or skip doses.

The factors involved in drug pricing can be complicated but it’s pretty clear that the cost of insulin is on the rise because pharmaceutical companies are able to charge what they like. America has very relaxed policies on drug pricing, compared to the rest of the world, so companies take full advantage. “They are doing it because they can,” Jing Luo, a researcher at Brigham and Women’s Hospital, told Vox, “and it’s scary because it happens in all kinds of different drugs and drug classes.”

The cost of insulin has put such a strain on American families that the Biden administration placed a $35 cap on the drug in its Build Back Better bill. However, that bill is currently on hold in the Senate.


The good news is that for some Americans with diabetes, relief from high insulin prices may soon be in sight.

Earlier this month, Civica Rx, a nonprofit generic drug maker backed by hospitals, insurers and philanthropies, announced that it plans to manufacture and sell insulin for a maximum of $30 a vial. The company hopes the drug will be available at pharmacies as early as 2024. Before it makes it to market it must be approved by the FDA and Civica Rx has to finish constructing its 140,000-square-foot manufacturing plant in Virginia.

The company predicts its products could make up around 30% of the U.S. insulin market.

"That's actually a fairly fast development time for a product like this,” said Civica’s Allan Coukell. “For Civica as a nonprofit, we're going to manufacture these insulins and sell them for close for what it costs us to make them - without any huge markup.”

The company says there’s also a plan to prevent any retail markups.

“We'll actually have a transparent pricing policy where we say nobody should pay more than—for example, for a vial, $30—at the pharmacy counter. And we're going to say that right on the vial: 'this is the maximum price anybody should pay' so that there's no downstream markups that unfairly target the consumer,” Coukell said.

It’s obscene that in the richest country in the world people are getting gouged for a product they need to stay alive. The price of insulin is a life-or-death issue and Civica Rx should be commended for stepping up and doing the work to help people struggling with diabetes while we wait for the government to act.

Health

She was 15 when men threw acid in her face. They told her she’d be ashamed forever.

ReSurge International helped Muskan Khatun reconstruct her body, and now she’s using her voice to advocate for burn and gender-based violence survivors.

ReSurge International

Muskan Khatun was only 15 when she survived an acid attack in Nepal.

True

When Muskan Khatun was 15 years old, a group of young men started teasing her on her way to school in Nepal. She found it disturbing and uncomfortable, but they wouldn’t stop.

“I finally told my family,” Muskan says. “My dad confronted them, scolded them, and even slapped one of them. After that, they stopped bothering me for about three months.

“Then, one day, when I was heading to school, I saw them again. This time, they had a jug of acid. They tried to make me drink it, but I refused. In anger, they threw the acid on my face, hands, and chest.”

The attackers were arrested, and good samaritans nearby got Muskan to Kirtipur Hospital, where she was treated by local ReSurge surgeon and Country Director, Dr. Shankar Man Rai and his team. Resurge International is a non-profit organization that provides free reconstructive surgical care and trains surgical teams in low-income countries around the world to increase access to care for people who need it, like Muskan. ReSurge’s team in Nepal has treated 141 intentional burn attacks like Muskan’s over the last seven years.

ReSurge helped Muskan take her life back. But that was only the beginning of her story.

ReSurge International

One teen’s perseverance created historic change in the law.

“As I learned more about the laws in my country, I realized the justice system didn’t provide enough protection or punishment for such crimes,” Muskan says.” It felt like a bigger hurt than the acid attack itself. That’s when I decided to raise my voice and work towards changing the laws to ensure justice for others like me.”

Muskan wrote to the Prime Minister just days after her attack, but got no response. So she took her voice to the public. For two years, she courageously shared her story and advocated for better laws.

Finally, the Prime Minister invited her to his residence. He listened to her experiences and legal ideas, and in just 15 days, he passed a law specifically targeting acid attacks. The law also passed in Nepal’s parliament in record time.

“This was the first time in Nepal that a law was passed so swiftly,” Muskan says. “The new law was very strict, including a life sentence for offenders, marking the most severe punishment in Nepal for such crimes.” In 2021 Muskan was awarded the prestigious International Women of Courage (IWOC) Award by the U.S. Secretary of State for her work to end acid attacks.

Muskan Khutan's awardsMuskan has won multiple awards for her advocacy work.Resurge International

Muskan is not alone. Acid attack survivors around the world have raised their voices to get laws changed—but that’s not the only battle they’re fighting.

Constructing laws is one thing. Reconstructing your burned body is another.

Chemical burns leave survivors with painful scar contractures that restrict movement over the affected areas, forcing them to also relive their trauma every time they look in the mirror or field questions from people about what happened to them. However, burn scars require specialized surgical care, which often isn’t readily available or affordable in most low-income countries.

That’s where ReSurge International comes in.

With a conservative estimate of 10,000 acid attacks each year (many countries don’t keep official records of acid attacks and an estimated 40% of attacks go unreported, according to Acid Survivors Trust International), the surgical needs just for intentional burn victims is significant. Additionally, with 80% of acid attack survivors being women, the gender-based violence aspect of the issue cannot be ignored.

But there’s a gap in surgery accessibility between people in high-income nations, where plastic surgery is often viewed as elective and cosmetic, and those in low-income countries, where it more often addresses critical medical needs.

One way ReSurge is closing that gap is by training the next generation of reconstructive surgeons across Africa, Asia and Latin America, in countries where acid attacks are high. Rather than only sending in surgeons from the outside, ReSurge trains and funds local surgeons, anesthesiologists, nurses, and occupational therapists, focusing on capacity building and prioritizing locally-led solutions with an extra emphasis on training women to close the gender gap in medicine and surgery. Just last year, ReSurge transformed the lives of over 25,000 patients and trained more than 5,000 medical professionals, with 85% of their surgeries being conducted by local partners.

Raising awareness is another way ReSurge is working to ‘close the gap.’

Seeing a potential for a powerful partnership, Resurge orchestrated the first face-to-face meeting between Muskan and fellow acid attack survivor and Woman of Courage Award Winner, Natalia Ponce de León from Colombia, in June of 2024. Like Muskan, Natalia has worked tirelessly to advocate for survivors’ rights and successfully inspired change to her country’s laws. She currently runs a foundation to ensure survivors of chemical attacks get the medical, psychological and legal care they need and deserve. Through the power of mentorship and mutual support, these two remarkable women will be able to increase their reach and amplify the impact of the incredible work they’re already doing.

Muskan Khutan and Natalia Ponce de Le\u00f3nMuskan and Natalia are working together to advocate for acid attack survivors.ReSurge International

Preventing more attacks like the ones that changed Muskan and Natalia’s lives requires a multi-faceted approach, as does care for survivors who are living with the aftermath of such violence. Survivor advocates and organizations like ReSurge International working together to ensure that care is accessible for all is a reminder of what humans can do when we set our sights on solutions and keep striving to implement them in the most effective way possible.


Interested in helping? This giving season, ReSurge is matching every gift for twice the impact. To make a gift to support patients like Muskan, read their stories, and learn more about how ReSurge International is closing the gap to reconstructive surgery, visit resurge.org/closing-the-gap

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Her delight at finding a snack she liked has people in stitches.

In the age of Amazon and other online retailers, delivery drivers have become an integral part of our lives. But most of us rarely interact with the people who drop packages at our door via UPS or FedEx or USPS, and if we do, it's usually only for a few seconds. We might manage a friendly "Good afternoon!" or quick "Thanks a bunch!" as they hustle to and from their vehicle, always rushing to fulfil their quota as efficiently as possible.

Delivery folks work hard. They're on their feet much of the day, traipsing up hundreds of front walks a week, through all kinds of inclement weather. Yes, it's their job and they're paid to do it, but it's always nice to have your work seen and appreciated, which is one reason a video of UPS driver discovering a sweet treat on a customer's front porch is going viral.

Another reason is that it's just hilariously adorable.

A doorbell camera caught a UPS driver wearing a holiday bauble headband walking up to the door and dropping off a package as she talks to herself. After she takes a photo of the delivery, she sees that the customer had left a little tray of drinks and snacks, and her "Oooh, do I see honey bunny?" is a sign of the hilarity to come.

Watch her reaction and the way she joyfully make her way back to the truck.

Unsurprisingly, people are in love with the driver and her giddy goofiness.

"I literally laughed out loud at her crazy walk back to the truck. I need more people like her in my life."

"I have a friend like that, he just makes my day every time we see each other. 😂"

"That is way adorable! Simple act that makes the day of a random person <3."

"I don’t know anything else about her but she’s my new fave human."

"OMG she reminds me of our mail carrier so much. We leave her cookies at Christmas and she always does a little happy dance that day."

Delivery drivers and former delivery drivers shared that these kinds of gestures really do mean a lot.

"As a former delivery driver, i want you to know that if you leave snacks and drinks out for us, we love you to the moon and back. 💜"

"Driving for Amazon paid my rent for 10 months. Not exaggerating when I say that it was a dark time in my life. Snacks made me smile. every. single. time."

"I mean... I literally took something from every house that had stuff out. I worked 10-12hrs+ during the holidays... I needed every calorie I could get walking 20-30miles a day."

"Even when I didn't take them I appreciate them. it's like seeing a sign that says we love delivery drivers."

"I'll tell you what, the people who leave food got me through my holidays as a postal carrier. Nothing slaps harder than an ice cold redbull and bag of pretzels and ice cold bottle of water that was left in a cooler. I had a lady who asked me what I liked and then had sperate bags labeled "Mail carrier USPS" and "UPS GUY" and "FED EX GUY" with our preferred snacks. She asked me what my favorite ice cream was and she knew my mile long loop and knew when I parked, I'd be done in 15mins, so, she'd be waiting at the truck every day all summer with an ice cream and a napkin.

There are some people who just f---ing make the day feel worth it, if you are one of these people, you are what makes delivering mail worth it. We do notice the nice things you do for us, THANK YOU."

"I do this during the summer. I'm in Texas so it's routinely over 100°F. I'm always trying to make sure there are cold drinks for our postal workers and delivery people."

"I do it during Australian Christmas. 40c/100f plus on a December day. Coke water and Gatorade always gone by lunch."

It's a good reminder that it doesn't take a lot to show appreciation and make someone's day. These kinds of positive interactions, even when asynchronous and not directly face-to-face, are an important part of building the kind of world we all want to live in.

Joy

Family of 7 takes in 82-year-old widower neighbor as their new 'grandpa'

"You get many chances to talk to people. If you don't take a chance, you may miss a friend."

Paul Callahan, 82, with the Caraballo family.

South West News Service reports that when Sharaine, 32, and Wilson Caraballo, 42, moved their family of seven into a new home in Pawtucket, Rhode Island, last year, they weren’t sure how they’d be received. "Our biggest fear moving into a new neighborhood was, 'What if our neighbors don't like us?' What if, because we have a lot of kids, they make a lot of noise and we come from a big family, so what if there's any conflict with the neighbors?" Sharaine told USA Today. "We're the only Black family in our neighborhood."

But all that fear quickly dissipated when their new neighbor, Paul Callahan, 82, showed up with a ladder and offered to help the family spruce up their new home.

“He was coming over with tools. He’d bring screwdrivers and teach Wilson how to fix up the garage, and Wilson followed all his advice,” Sharaine told South West News Service. The recently-widowed octogenarian soon became a fixture at the Caraballo house. Now, he stops by nearly every day and can always be found at the family’s cookouts.

Callahan has become a great friend to the family’s children, whom he entertains with stories from his past. "The kids run up to him like that's their grandfather," Sharaine said. "Paul is definitely a family member. He's no longer considered a neighbor."

Callahan believes that it’s all about taking the time to be friendly.

"You get many chances to talk to people. If you don't take a chance, you may miss a friend," Callahan said. "It doesn't hurt to be nice. That's the other thing, it costs you nothing, but a lot of times, you get a better return."

This article originally appeared last year.

Popular

Couple in their 30s live permanently on cruise ships for a little over $10K a year

“I’m not a millionaire ... I just live full-time on cruise ships.”

A magnificent cruise ship on the ocean.

Giving it all up and retiring to live on a cruise ship at 32 seems like a lifestyle choice only available to the ultra-wealthy. However, two financially savvy retired school teachers from Tennessee have managed to do just that, spending under $10,000 for the first eight months at sea.

Monica Brzoska, 32, and Jorrell Conley, 36, met in 2015 while teaching in Memphis, Tennessee. The following year, they booked a week-long cruise to Mexico, Belize, and Grand Cayman. After that, they were hooked on cruising together.

Eight years later, in March 2023, they booked a week-long Caribbean cruise. When it was over, instead of returning home to Memphis, they had a wild idea: Why not continue to book consecutive cruises? So, they did just that.

Monica was inspired to start living the life she always wanted after her father fell ill and her mother told her: "Don't wait for retirement. Follow your dreams."



The couple crunched the numbers and found that if they chose the cheapest cabins and used the deals they’ve received from Carnival Cruises, they could book the first 8 months for just under $10,000. “It sounds mad, but the numbers made sense. Accommodation, food and entertainment would be included – we’d only need spending money,” Brzoska told The Sun. “And because we’d been on so many Carnival cruises, we’d earned access to some amazing offers.”

Hopping from ship to ship isn’t difficult for the couple because many disembark from the same ports. But they sometimes have to fly when they can’t walk to the next ocean liner.

The couple then quit their jobs, sold their possessions, and started a new life on the high seas. They rent out their 3-bedroom home in Memphis to maintain steady cash flow. The average 3-bedroom home in the area rents somewhere between $1200 to $1900 a month.



Over the first year of their new life, the couple completed 36 consecutive cruises. They have already visited countless destinations across the globe, but they can’t choose a favorite. "For a cultural experience, we loved Japan," Brzoska told a Carnival Cruise director on Instagram. The couple also loved Greece for its “history” and Iceland because it was the "closest to being on Mars."

One of the most incredible benefits of loving on a cruise ship is that so many things are taken care of for you. The couple never has to cook any meals, do any laundry or drive. Every night, there is something to do, whether it’s checking out a comedy show or enjoying drinks and dancing in the nightclub.



Plus, on cruises, just about all the costs are covered, so you rarely have to open your wallet. It’s a stress-free, all-inclusive lifestyle. Brzoska says that when you remove the everyday stresses from life, it’s great for your marriage. “Without the daily stresses of life, we rarely argued, but always told each other if we needed space or more time together,” she said.

The couple also makes sure to have one date night a week, during which they dress up and have a nice meal together.

Most people may be unable to give it all up and live their lives hopping from ocean liner to ocean liner. But there’s a great lesson in the story of Brzoska and Conley: You never know how much time you have left, so don’t wait for retirement to live the life of your dreams.

Upworthy has reached out to Brzoska for comment and is still awaiting a response.



This article originally appeared in August.

@steph_murphy/TikTok

Stephanie Murphy shares her "average" home in viral TikTok video.

Sure, it’s lovely to see pristine, perfectly curated homes that look like they belong in Architectural Digest. A little inspo never hurt anyone. But as we all know, the spotless life is simply not an achievable reality, especially for those with busy lives and limited budgets (read: most of us).

But you know what? Maybe even the messy homes deserve some love. The ones with constant junk piles and unfinished projects and dirty dishes and misplaced toys. The homes that will never grace the cover of a magazine but still do a wonderful job of containing all the moments life has to offer—the big, small, extraordinary, mundane and everywhere in between. Cause at the end of the day, isn’t that a home’s true purpose anyway?

Stephanie Murphy, a mom and TikTok creator, seems to think so. Murphy recently took viewers on an “average house tour,” and it was the exact opposite of aspirational.

Highlighted in Murphy’s tour are the pantry door that’s remained unpainted for three years, blinds held together with binder clips, air conditioners held in place by duct tape, a full dish rack tray that’s “a permanent fixture” on their countertops, and not one but two junk drawers (honestly, that’s a little low by my count).

@steph_murphy

Lets normalize “average” because there is nothing wrong with it. Everywhere you look on social media you see big gorgeous houses in perfect condition and its hard not to compare yours to them. But its not the norm and half the time its staged. Our house is lived in, and its filled with love and tons of memories and at the end of the day thats all that matters.

♬ vampire - Olivia Rodrigo

You’ll also notice a fridge that is covered in her kid’s artwork and school pictures. Not in any cohesive way, but merely thrown on randomly, as nature intended.

Meanwhile, in the master bedroom, Murphy and her husband’s bed have two separate blankets because neither of them like to share. A genius idea, and just another example of how we really, really don’t need to continue with marital sleeping norms that don’t actually feel comfortable. Another way is possible!

As for why Murphy decided to showcase her “average, middle-class house,” it’s all in the caption of her video:

“Let’s normalize ‘average’ because there is nothing wrong with it. Everywhere you look on social media, you see big gorgeous houses in perfect condition and it’s hard not to compare yours to them. But it’s not the norm and half the time it's staged. Our house is lived in, and it’s filled with love and tons of memories and at the end of the day that's all that matters."

Judging from the comments sections of this now-viral post, it seems like other people are ready for more average content.

“This is awesome!” one person wrote. “I’m constantly feeling inadequate when people have a perfect house that looks like nobody lives there!”

“I feel seen,” added another.

Hear, hear. No need to feel inadequate about having a home that’s lived in. Imperfection has its own kind of beauty.


This article originally appeared last year.

A beautiful ocean liner

Upworthy has covered a few stories about people who decided to live permanently on cruise ships because it's cheaper than living on land or in a nursing home. These stories have connected with millions because they say a lot about the modern cost of living but are also aspirational.

Christine Kesteloo has become popular on TikTok with over 680,000 followers because she shares what living on a cruise ship is really like. Kesteloo is the wife of the ship’s Staff Chief Engineer, so she gets to live on the boat for free. She only has to pay for alcohol and soda, which she gets for half off.

“I live on a cruise ship for half the year with my husband, and it's often as glamorous as it sounds,” she told Insider. “After all, I don't cook, clean, make my bed, do laundry or pay for food.“

Kesteloo’s life seems pretty stress-free. After all, she's basically on a permanent vacation. However, even though she lives on a cruise ship as a “wife on board,” there are a few things she either can’t or shouldn’t do.

She shared these four things in a TikTok video with nearly 10 million views.

@dutchworld_americangirl

I go through four things I can, and cannot do it while living on the cruise ship with my husband #weliveonacruiseship #4things #alaskacruise #cruiseship #cruiseshiplife #cruise #alaska #caribbeancruise #cruiselife #livingstsea #getreadywithme

1. No gambling

Kesteloo says she cannot sit at a slot machine and “play my heart out until I win.” She believes it would “look a little weird if I, as the wife of the staff chief engineer, won a big jackpot.”

2. Can’t leave the ship with the guests

When the ship arrives at a destination, she can't get off with the guests. She must wait about an hour and exit the vessel with the crew. When returning to the ship, she also has to be on time. “No, they will not wait for us,” she says. And the same goes for her husband, if they “miss the ship, someone else will take over the role.”

3. Sit in a crowded pool

Although Kesteloo has access to the pool, gym, and all the ship’s amenities, she’s cautious not to interfere with the guests' good time. She’ll exit the pool if it’s busy because “it’s just the right thing to do.”

4. Must have international traveler insurance

She must have insurance in case of a misfortune on the ship. But as a citizen of the Netherlands, they already have coverage and just have to pay a few extra dollars a month.

Some of the most popular commenters on the video were from women regretting that they married men who aren’t chief engineers on cruise ships or those who want to know where to find a single one.

"OK, can you explain how to marry a cruise ship engineer?" one female commentator wrote.

"How. in. the. H E double hockey sticks do I become the wife of a cruise ship engineer???? I don’t have to work AND cruise for free!" Cute_n_catchy added.

"Does he have any single friends with same job??? Asking for me." Hannah LaCaze asked.


This article originally appeared last year.