At the State of the Union address, President Joe Biden shouted out one constituency in particular.

One in ten Americans has diabetes. Many of you in this chamber do and

in the audience. But every day millions need insulin to control their diabetes so they can literally stay alive.

Biden also had some choice words for the drug companies involved in that business. It cost the drug companies roughly $10 a

vial to make that insulin. Packaging in all you may get up to $13. But Big Pharma has been unfairly charging people hundreds of dollars,

four to five hundred dollars a month, making record profits. Not anymore. Not anymore.

The fact is, the price of insulin has gone up dramatically, more than a thousand percent in the last 20 years.

Bram Sable Smith was diagnosed with type 1 diabetes about 11 years ago.

And even with insurance coverage,

he's noticed the cost of his own insulin

creep up over that time.

You know, my first viol of insulin

costs me about $25 after insurance.

That was in 2011 and then time went on in 2016 or so I was paying over a hundred dollars for my supply of insulin. That was two violets of insulin.

So there I'm seeing it right there in my life.

Bram reports for Kaiser Health News and living with a chronic disease means there are times

when his life starts to intersect with his work. Last year he wrote an article titled,

I Write About America's absurd health care system,

then I got caught up in it.

The story Bram tells in the article is infuriating.

For people suffering from diabetes, it's also not so uncommon. After he moved

to start a new job, Bram had trouble getting a hold of more insulin. When he called up the pharmacy to get things sorted, he learned that his new employer

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