Healthcare

[runrussellrun]

... You posted fairly tales. I deal in reality.

Yeah, right.

The reality is that thanks to your hero Trump, Republican death panels are here:












As Republicans shouted during one campaign speech: "let him die!"

My hero tRump?
I dislike him more than you pretends. I mostly try to ignore the guy exists, unlike you guys and your thousands of posts fixated on him.

[foreverlax]

Foreever wrote:

Quipy.....the fact remains, the Rs have no plan.

The ACA is horrible. Expensive. Short window for signup. The list is long. If it were a home, it would have been condemned long ago. Do members of COngress own stock in health industries? Get nice donations for their "war chests" (so stupid to call it that ) Not going down the R's vs D's nonsense. TAATS is reality. But, if you insist, what have the D's done to address diabetics from dying? exactly

Are you a glass half empty everywhere else in your life or do you save all that negativity for just here?

There is plenty to complain about....sometimes you just have to be glad you have a glass and there is something in it.

Point me to your happy, positive posts. (look in the mirror, guess when it's R's or tRump it's A-ok ) No need for me to hate on Ds, that has been well covered here for years. As for Trump....no doubt I have been venting my dissatisfaction.

As usual, your reply didn't address my question. I try hard to answer questions posed to me. From above - I have no idea what Congressman own, but I suspect some do. I fully support "what's good for the goose is good for the gander" when it comes to "inside information". I think '72's answer is spot on.....the fact that insulin isn't distributed profit free is pathetic.
Sure, the vast majority of posts are reflections and observations,life is negative, filled with prose that Obfuscate's those that waste their time reading them.

But , yeah, isn't this a good place to vent? In real face to face life, I am viewed as crazy, not negative. You? Vent'em if you got'em - I give it my best to be satisfied that I have a glass and there is something in it....

[runrussellrun]

Don't care what type of vessel I drink out of, just as long as it stays full.

[runrussellrun]

What do you expect any politician to do about any specific disease? The system as a whole at the present time is so f**ked up I can't imagine a rational response to any single disease. A response that would actually make a difference. Until you get the cost of healthcare issue, the delivery / distribution system, resolved, a war on any specific disease is futile. At this point in time, if researchers today had a magic pill to eradicate diabetes only the 1% could afford it, regardless of the true underlying costs of the pill. The more effective the pill, the more serious the disease, the more it costs, even if it costs nothing to produce!

specific disease? As usual, your superior intellect has you over thinking. What does any of your rant have to do with a $7000 deductable and a $450 a month health "plan"?

Eli Lilly stock has a nice "hockey stick" like rise, since 2009. Coincidence to when the ACA was passed. How much of Eli Lilly stock do YOU own.

This might help:

https://www.npr.org/sections/health-sho ... -expensive

Insulin should cost as much as a gallon of milk. Dont you agree, pretend caring liberal. Profits over people. You go jhu72, you go

Nope don't own any Lilly stock. You mentioned diabetes. Is this not a specific disease? I addressed your question, you move the goal posts. Maybe if you wanted an answer to the $7000/$450 question, YOU SHOULD HAVE ASKED THAT QUESTION! Neither I nor anyone else around here are mind readers. As I said interacting with you is hopeless.

I try. Fairly certain I posted a VERY specific article talking about diabetes and the costs(to brookie) Perhaps you should go back and read my posts. You don't interact, you insult. every single time. Doesn't bother me. And, I will nevah read a response from you about how I am a hypocrite. Doesn't fit your narrative.

[runrussellrun]

Foreever wrote:

Quipy.....the fact remains, the Rs have no plan.

The ACA is horrible. Expensive. Short window for signup. The list is long. If it were a home, it would have been condemned long ago. Do members of COngress own stock in health industries? Get nice donations for their "war chests" (so stupid to call it that ) Not going down the R's vs D's nonsense. TAATS is reality. But, if you insist, what have the D's done to address diabetics from dying? exactly

Are you a glass half empty everywhere else in your life or do you save all that negativity for just here?

There is plenty to complain about....sometimes you just have to be glad you have a glass and there is something in it.

Point me to your happy, positive posts. (look in the mirror, guess when it's R's or tRump it's A-ok ) No need for me to hate on Ds, that has been well covered here for years. As for Trump....no doubt I have been venting my dissatisfaction.

As usual, your reply didn't address my question. I try hard to answer questions posed to me. From above - I have no idea what Congressman own, but I suspect some do. I fully support "what's good for the goose is good for the gander" when it comes to "inside information". I think '72's answer is spot on.....the fact that insulin isn't distributed profit free is pathetic.
Sure, the vast majority of posts are reflections and observations,life is negative, filled with prose that Obfuscate's those that waste their time reading them.

But , yeah, isn't this a good place to vent? In real face to face life, I am viewed as crazy, not negative. You? Vent'em if you got'em - I give it my best to be satisfied that I have a glass and there is something in it....

I think '72's answer is spot on.....the fact that insulin isn't distributed profit free is pathetic.

That was ME that said insulin should be cheap, very cheap. not 72. Although certain he agrees. He just support politicians that don't.

It's very understandabe to misattribute thoughts on these threads, the format being as it is. I am, by far, the most liberal person on these threads.

[dislaxxic]

Here's the issue:

Remember how we always used to joke at LP about "Fatty Goggles"?? You know what that means, right?

See, your command of the written language is tenuous at best. You jump back and forth between serious, mocking, innuendo, truth, conjecture and thoughtfulness, often several times within the same sentence.

For me at least, this makes it incredibly difficult to understand what the FORK you're talking about. It's not that you get ignored and no one answers your incessant put-downs (OK, maybe it is, sometimes...), it's that the fear of being subjected to another Alice-In-Wonderland meandering response, complete with fresh accusations about being a "pretend", well, it's simply not worth the trouble.

We think sometimes we know what you're for, then you let us down with another wandering, zinger-filled screed. We think we know what you're against, but...guess what? Ditto, above. Pervasive cynicism is what comes through in your prose, Fatty...and until you figure out how to communicate your thoughts with a little more structure and consistency, the push-back (and ignoring) you get around here will likely continue.

Just one poster's opinion...

..

[runrussellrun]

Here's the issue:

Remember how we always used to joke at LP about "Fatty Goggles"?? You know what that means, right?

See, your command of the written language is tenuous at best. You jump back and forth between serious, mocking, innuendo, truth, conjecture and thoughtfulness, often several times within the same sentence.

For me at least, this makes it incredibly difficult to understand what the FORK you're talking about. It's not that you get ignored and no one answers your incessant put-downs (OK, maybe it is, sometimes...), it's that the fear of being subjected to another Alice-In-Wonderland meandering response, complete with fresh accusations about being a "pretend", well, it's simply not worth the trouble.

We think sometimes we know what you're for, then you let us down with another wandering, zinger-filled screed. We think we know what you're against, but...guess what? Ditto, above. Pervasive cynicism is what comes through in your prose, Fatty...and until you figure out how to communicate your thoughts with a little more structure and consistency, the push-back (and ignoring) you get around here will likely continue.

Just one poster's opinion...

..

You're not mostly wrong, but don't see anyone replying to your posts often either. The problem, is that you have the same mindset when it comes to my posts, similar to how my viewpoint of people like McCain will never change. Nor yours, and mine, regarding opinions towards tRump. Only difference is, I try to focus on what he's done, legislatively. I don't comment on his daily nonsense. I Don't libel myself by calling him a tax fraud, when factually he has nevah been charged or convicted of tax fraud. Plenty of real stuff to bash the guy on. I did watch a video clip on OAN news that showed bump stocks being destroyed. Something that tRump supported. Think that is a good thing. you?

It's nevah the message, only the messenger. Mostly trying to entertain, but you can't see past your fatty goggles. Message received, that is why RRR attempts to be more strait forward. And, sure, blanket statements like "pretends" hurts more than helps. Get that. But, on the flip side, insulting responses instead of staying on point, how is that helping? And the insults are certainly not just towards me. Bandito gets a penalty for calling someone a moron. Deserved. But, many of you essentially are doing the same thing, with just more words and verbage.

Case in point, what is confusing about me asking to point out one instance of my being a hypocrite? It always seem the ignoring occurs, or the insults, when asked pretty simple, strait forward questions.

Regarding healthcare plans. Do you think I support government run healthcare? Yes or no.

[dislaxxic]

You're not mostly wrong, but don't see anyone replying to your posts often either. The problem, is that you have the same mindset when it comes to my posts, similar to how my viewpoint of people like McCain will never change. Nor yours, and mine, regarding opinions towards tRump. Only difference is, I try to focus on what he's done, legislatively.

See what i mean? Anyone? What the fork does that all mean??? Just try reading it back to yourself rrr...

Regarding healthcare plans. Do you think I support government run healthcare? Yes or no.

No frickin' clue. Now we'll get lost in some wandering discussion of what that means, i suppose. Was the ACA "government run healthcare"? Yes or no?

..

[jhu72]

Trump admin joining the lawsuit to declare all of Obamacare unconstitutional.

Oh please please PLEASE let SCOTUS so declare! I want all Trump voters to get what they voted for.

This may very well be the best solution. Personally tired of the nonsense over this issue.

An easily fixed imperfect plan is clearly not as good as nothing. Trump and the republicans have nothing to replace it with. The cry for single payer "Medicare for all" would then be deafening. Trump would have no problem with this, he would then have to fight with the republican nut fringe to pass it. Could pass it with 100% democratic support and a handful of republicans in the Senate, assuming it is one of the plans the democrats have in the back room and could be dusted off. We can call it BernieCare. Democrats are not going to vote for a half baked republican plan whipped up in the 20 seconds Trump will give them and the democratic support you lose will never be replaced by republican support. So you don't get BernieCare under Trump.

The other possibility is Trump goes with the BullyCare plan. Mandate a whole bunch of "buzzword" laws that don't hang together which will drive costs up or break the system entirely because providers decide they can't comply and make a profit. The system only has to hang together long enough to get Orange Duce through the 2020 elections. BullyCare is the most likely option if the supremes go with Trump.

[Brooklyn]

It's very understandabe to misattribute thoughts on these threads, the format being as it is. I am, by far, the most liberal person on these threads.

Huh?

[runrussellrun]

You're not mostly wrong, but don't see anyone replying to your posts often either. The problem, is that you have the same mindset when it comes to my posts, similar to how my viewpoint of people like McCain will never change. Nor yours, and mine, regarding opinions towards tRump. Only difference is, I try to focus on what he's done, legislatively.

See what i mean? Anyone? What the fork does that all mean??? Just try reading it back to yourself rrr...

Regarding healthcare plans. Do you think I support government run healthcare? Yes or no.

No frickin' clue. Now we'll get lost in some wandering discussion of what that means, i suppose. Was the ACA "government run healthcare"? Yes or no?

..

NO clue? Well, I guess its tough to read things you can not see. (ignore function)

On the what the fork part. Your opinion of me will most likely never change. The messenger, not the message. Is that clear enough?

ACA is NOT government run healthcare. NO. Its forced consumerism. With limited options. Expensive options.

I have made it VERY clear that I support government run healthcare. Costs based on a percentage of your income perhaps, but call it what you will. Single payer, universal, socialism. See my reply about blue cross/blue shield to cradle (i think) a few pages back. BC/BS is socialism. Tens of millions of government workers have it. Same with companies that get government contracts.

You're like the kid who misses a few classes and acts all superiour because you don't know whats going on. Stop with the ignore function.

[jhu72]

Foreever wrote:

Quipy.....the fact remains, the Rs have no plan.

The ACA is horrible. Expensive. Short window for signup. The list is long. If it were a home, it would have been condemned long ago. Do members of COngress own stock in health industries? Get nice donations for their "war chests" (so stupid to call it that ) Not going down the R's vs D's nonsense. TAATS is reality. But, if you insist, what have the D's done to address diabetics from dying? exactly

Are you a glass half empty everywhere else in your life or do you save all that negativity for just here?

There is plenty to complain about....sometimes you just have to be glad you have a glass and there is something in it.

Point me to your happy, positive posts. (look in the mirror, guess when it's R's or tRump it's A-ok ) No need for me to hate on Ds, that has been well covered here for years. As for Trump....no doubt I have been venting my dissatisfaction.

As usual, your reply didn't address my question. I try hard to answer questions posed to me. From above - I have no idea what Congressman own, but I suspect some do. I fully support "what's good for the goose is good for the gander" when it comes to "inside information". I think '72's answer is spot on.....the fact that insulin isn't distributed profit free is pathetic.
Sure, the vast majority of posts are reflections and observations,life is negative, filled with prose that Obfuscate's those that waste their time reading them.

But , yeah, isn't this a good place to vent? In real face to face life, I am viewed as crazy, not negative. You? Vent'em if you got'em - I give it my best to be satisfied that I have a glass and there is something in it....

So you do see the answer to the question that was not asked in my response. Glad someone got it. You are not entirely correct. I don't think it has to be profit free. Profit needs to be capped in some fashion like a utility. But free is also fine! We need to drive the outrageous profit out of healthcare. We have thanks to ACA driven it out in a number of places - currently causing manufacturers / vendors to struggle. Pharma ain't one of them! We also need to incentivize pharma to provide solutions to less common diseases, unfettered capitalism drives a race by all the pharma companies to only develop solutions for the most common diseases and to make those solutions as expensive as is possible. This is a general rule, all companies are not the same, there are actually companies that don't at least initially start from the proposition of maximizing profits - but these disrupters get bought up if they develop successful products and begin to show marketing success. Money wins every time. It needs to be regulated in the healthcare space or you will never solve the problem.

[dislaxxic]

Trust me when i tell you i don't formally use the ignore function on ANYONE (although the temptation is strong in some cases).

I just tend to use good old fashioned ignoring..., of the engagement, mostly for the reasons i stated above...i just got tired, years ago, of entering the "Fatty Zone" which, in my mind at least, is much like the Twilight Zone. Remember that episode where several characters found themselves in a strange, cylindrical place they couldn't get out of or even understand their condition? Turned out...in the end...they were dolls in a trash can on the street.



You've called me and others a pretend so many times many of us wonder what "real" is in your mind...

Good Lord, did i just say that out loud???

..

[foreverlax]

Trump's top ten actions to improve our healthcare, per Breitbart

Here are the top ten.

1. Lower premiums. After the Obama administration oversaw massive double- and triple-digit annual increases in the price of Obamacare, the Trump administration has succeeded in stabilizing prices, which have decreased for many plans — contrary to what many experts predicted. Obamacare is still too expensive, and its deductibles far too high, but Trump fulfilled his campaign promise in 2016 to stop the massive premium increases under the policy.

2. Short-term plans. Obamacare eliminated many cheap, bare-bones, short-term health insurance plans favored by younger people, forcing them to pay huge premiums for coverage they did not need. Some of these plans are 80% cheaper than the cheapest Obamacare plan. President Trump signed an executive order, and promulgated new rules, that expand the length of these plans from three to 12 months, and allow them to be renewed for up to three years.

3. End to individual mandate. President Trump’s tax cut, signed into law in 2017, eliminated the requirement to purchase insurance — the most constitutionally objectionable part of Obamacare. That change saved individuals and families hundreds of dollars per year in IRS fines. And contrary to the predictions of critics, it did not result in the collapse of the system as a whole, as premiums dropped and more insurance providers participated in the system.

4. Group health plans across state lines. President Trump took a crucial step toward fulfilling the Republican promise of allowing people to buy insurance across state lines by signing an executive order in October 2017 that opened the door to employers in the same industry to pool their employees into common Associated Health Plans (AHPs) in different states. The result would be cheaper and better coverage for workers within those industries.

5. Choice for veterans. President Trump signed the VA MISSION Act in 2018, which passed with bipartisan support and expanded options for veterans to obtain health care in the private sector. Trump has also prioritized addressing backlogs within the Veterans Affairs system. His commitment to veterans and first responders is such that even left-wing comedian Jon Stewart acknowledged Trump was doing a good job for 9/11 responders.

6. “Right to try.” In May 2018, President Trump signed the “Right to Try” Act, which allows patients in desperate need to try new, experimental drugs that had not yet been approved by regulators. The law allowed patients to approach manufacturers directly, and limited their liability in the event the drugs did not work as hoped. In addition, the administration focusing on streamlining new drug approvals at the Food and Drug Administration (FDA).

7. Drug price information. President Trump has presided over the largest decline in drug prices in 46 years, and is proposing measures to lower them even further. In his 2019 State of the Union address, for example, he proposed “requir[ing] drug companies, insurance companies, and hospitals to disclose real prices to foster competition and bring costs way down.” He also proposed eliminating kickbacks to the middlemen in the prescription drug industry.

8. Opioids and fentanyl. The Obama administration failed to deal with the opioid epidemic, even declining to declare a national emergency to stop the proliferation of deadly fentanyl. In contrast, President Trump has made the fight against opioids and fentanyl a priority. His effort to build a barrier along the U.S.-Mexico border, and his administration’s tougher border enforcement, have also aimed to improve public health by stopping the drug flow.

9. Better administration. Trump told reporters in the Oval Office Wednesday that his administration is doing a better job of administering Obamacare than the Obama administration itself. One way it is doing so is through allowing the states greater flexibility in addressing their insurance markets ” rather than subscribing to the previous administration’s prescriptive one-size-fits-all approach,” wrote Medicare and Medicaid administrator Seema Verna.

10. Support for repeal. President Trump’s enduring commitment to repealing Obamacare and replacing it with a policy that actually works is crucial. The alternative is letting the government take over health care entirely, which Democrats are embracing in the “Medicare for All” policy — which would ban private insurance and limit access to experimental drugs, among other fatal flaws. If not for Trump, Republicans would have given up long ago.

[RedFromMI]

Trump's top ten actions to improve our healthcare, per Breitbart

Here are the top ten.

1. Lower premiums. After the Obama administration oversaw massive double- and triple-digit annual increases in the price of Obamacare, the Trump administration has succeeded in stabilizing prices, which have decreased for many plans — contrary to what many experts predicted. Obamacare is still too expensive, and its deductibles far too high, but Trump fulfilled his campaign promise in 2016 to stop the massive premium increases under the policy.

There were _not_ such massive increases, and what Trump has done to sabotage the system has actually kept the Obamacare record of lowering the rate of increase from keeping things in check as well (see acasignups.net under their rate hikes section for the last couple of years showing what the results would have been without Trump/Republican interference with the ACA.

2. Short-term plans. Obamacare eliminated many cheap, bare-bones, short-term health insurance plans favored by younger people, forcing them to pay huge premiums for coverage they did not need. Some of these plans are 80% cheaper than the cheapest Obamacare plan. President Trump signed an executive order, and promulgated new rules, that expand the length of these plans from three to 12 months, and allow them to be renewed for up to three years.

They were eliminated because they were not full insurance. You need to get healthy (often young) people into the system to reduce costs - that is the whole purpose of insurance. By allowing fake insurance to be purchased (sometimes not covering hospitalization, for example) you increase the risk that one of those younger customers ends up in medical bankruptcy because they were not covered. The plans are cheaper because they are not full health insurance. One of the biggest mistakes Obama made in his "you can keep your insurance if you like it" statement was that if you had crap insurance you could not actually keep it.

3. End to individual mandate. President Trump’s tax cut, signed into law in 2017, eliminated the requirement to purchase insurance — the most constitutionally objectionable part of Obamacare. That change saved individuals and families hundreds of dollars per year in IRS fines. And contrary to the predictions of critics, it did not result in the collapse of the system as a whole, as premiums dropped and more insurance providers participated in the system.

Definitely one of the more disliked features of not just ACA but the predecessor Romneycare in MA. But it drives people to buy insurance, and that keeps everyone's cost down. Also tends to keep hospitals open since they know that the patients have insurance coverage...

4. Group health plans across state lines. President Trump took a crucial step toward fulfilling the Republican promise of allowing people to buy insurance across state lines by signing an executive order in October 2017 that opened the door to employers in the same industry to pool their employees into common Associated Health Plans (AHPs) in different states. The result would be cheaper and better coverage for workers within those industries.

The issue is that some states have better standards, so their coverage tends to cost more. So you substitute a race to the bottom...

5. Choice for veterans. President Trump signed the VA MISSION Act in 2018, which passed with bipartisan support and expanded options for veterans to obtain health care in the private sector. Trump has also prioritized addressing backlogs within the Veterans Affairs system. His commitment to veterans and first responders is such that even left-wing comedian Jon Stewart acknowledged Trump was doing a good job for 9/11 responders.

Rather than invest in and fix the VA.

6. “Right to try.” In May 2018, President Trump signed the “Right to Try” Act, which allows patients in desperate need to try new, experimental drugs that had not yet been approved by regulators. The law allowed patients to approach manufacturers directly, and limited their liability in the event the drugs did not work as hoped. In addition, the administration focusing on streamlining new drug approvals at the Food and Drug Administration (FDA).

Actually good in theory, a bust in practice. Does not seem to be working.

7. Drug price information. President Trump has presided over the largest decline in drug prices in 46 years, and is proposing measures to lower them even further. In his 2019 State of the Union address, for example, he proposed “requir[ing] drug companies, insurance companies, and hospitals to disclose real prices to foster competition and bring costs way down.” He also proposed eliminating kickbacks to the middlemen in the prescription drug industry.

Based on a lie. Average drug prices have continued to increase.

8. Opioids and fentanyl. The Obama administration failed to deal with the opioid epidemic, even declining to declare a national emergency to stop the proliferation of deadly fentanyl. In contrast, President Trump has made the fight against opioids and fentanyl a priority. His effort to build a barrier along the U.S.-Mexico border, and his administration’s tougher border enforcement, have also aimed to improve public health by stopping the drug flow.

One of the Obama administrations biggest failures, yes. Trump has not done much of anything about it, as border security along the US-Mexico border has little to do with the fentanyl crisis. That is mostly shipped through mail/UPS/etc. If it comes from Mexico, it most likely comes through ports of entry, for which there has been little action of the Trump administration.

9. Better administration. Trump told reporters in the Oval Office Wednesday that his administration is doing a better job of administering Obamacare than the Obama administration itself. One way it is doing so is through allowing the states greater flexibility in addressing their insurance markets ” rather than subscribing to the previous administration’s prescriptive one-size-fits-all approach,” wrote Medicare and Medicaid administrator Seema Verna.

10. Support for repeal. President Trump’s enduring commitment to repealing Obamacare and replacing it with a policy that actually works is crucial. The alternative is letting the government take over health care entirely, which Democrats are embracing in the “Medicare for All” policy — which would ban private insurance and limit access to experimental drugs, among other fatal flaws. If not for Trump, Republicans would have given up long ago.

Outside of Trump and apparently Mick Mulvaney there is little demand for repeal. Most of the public is wary of attempts to mess with what they have, and that includes repeal of the ACA.

[frmanfan]

Ok, I read this a few posts back, I have to ask since I know nothing about this, but why should insulin be free?

[wahoomurf]

Well bust my buttons Finlands government collapsed under the weight of ...wait a minute....HEALTHCARE COSTS

Only 5.5 million population NOT 320 Million

Wonder what Bernie Sanders will talk about now.

72" K.: Sanders will probably talk about you and others that fit the same pattern.Remember this lousy healthcare system brought you and your fellow travelers,back from the brink.You should be thankful.

What brought Finland to it's knees wasn't healthcare costs.It was the glut of Reindeer meat on the world market.The price the Sami people sought wasn't competitive.The Soviet LAPPs set the market.As such the Finnish Samis were left behind.

Free enterprise?

LOL That reindeer meat —tastes like chicken

[wahoomurf]

misattribute

It's very understandabe to misattribute thoughts on these threads, the format being as it is. I am, by far, the most liberal person on these threads.

Huh?

misattribute Sorry. I thought it was the euphemism for the activity the COOO and Putin do when they're on the phone.WACKy if you ask me.

[foreverlax]

Ok, I read this a few posts back, I have to ask since I know nothing about this, but why should insulin be free?

When something that impacts so many, and is so cheap to produce, why not give it away....suspect it would be cheaper then the unintended consequences that result when folks can't afford the script.

[RedFromMI]

Ok, I read this a few posts back, I have to ask since I know nothing about this, but why should insulin be free?

When something that impacts so many, and is so cheap to produce, why not give it away....suspect it would be cheaper then the unintended consequences that result when folks can't afford the script.

Since my (late) wife was a diabetic - as well as my pug (who was diabetic for the last five years of her life), I will comment. Human insulin in its cheapest form is probably something like Novalyn N - which you can buy from Wal-Mart for about $26 retail, no prescription or health insurance needed. Not what is usually prescribed now for humans, BTW, but what I was using for the dog. The reason few humans use it is the length of action - most "insulin" formulations are not just insulin but modified forms that are designed to act over longer periods of time in order to better control the levels in the body. Also, because they are biologics rather than just drugs, approvals are much stricter. And manufacturers tweak the insulins every so often to get a new patent on them, and guarantee some additional time without competition.

BTW, it is not necessarily that cheap to produce: https://health.usnews.com/health-care/f ... of-insulin