New government act to limit the cost of insulin for people on Medicare starting in January

byMark Richardson
Illinois News Connection


CHICAGO -- Last month was National Diabetes Awareness Month. With almost 1.3 million Illinoisans diagnosed with the disease, people with diabetes make up 10% of the population, and another 3.4 million people have prediabetes, according to the American Diabetes Association.

Dr. Nicole Brady, chief medical officer for employer and individual business at UnitedHealthcare, said the rising cost of insulin is putting many patients in a bind.

"Many of them may even have to make decisions such as, 'Am I gonna buy food for my family this week or am I gonna spend money on my insulin?' So it puts them in a very precarious position," Brady observed.

A study published last month in the Annals of Internal Medicine showed one in five adults with diabetes is rationing insulin to save money, a practice which can damage his or her eyes, kidneys, blood vessels and heart.

The Biden administration's Inflation Reduction Act, which passed this summer, caps the cost of insulin for people on Medicare at $35 a month starting in January. It also caps Medicare recipients' out-of-pocket costs for prescription drugs at $2,000 a year, and allows Medicare to negotiate the cost of some drugs.

Brady added starting Jan. 1, UnitedHealthcare will offer zero-dollar cost sharing for people enrolled in standard fully insured group plans, which would eliminate out-of-pocket costs for certain prescription medications, including preferred brands of insulin.

"This should reduce the risk of expensive hospitalizations and of complications from the high blood sugars that can be an effect of diabetes," Brady emphasized. "And overall should make people just feel better."

In the meantime, Brady has some tips on improving your quality of life while on an insulin regimen. She advised reducing sugary processed foods, limiting alcohol and avoiding tobacco.

"Smoking and tobacco actually decrease the effectiveness of insulin," Brady pointed out. "We can better manage our stress because stress can raise our blood-sugar levels."

She added regular exercise can improve your blood-sugar levels because working out causes your muscles to use more glucose for energy.

Commentary: It's been a year now, when we do get back to normal


by Hilary Gowins, Vice President of Communications
Illinois Policy


Most people have spent the past year wondering if and when we’ll get back to normal.

Denetta Flamingo is busy dealing with a new normal. It’s one that cost her the home where she raised her children. It’s taken other assets. Those sacrifices have kept her small business alive.

Still, the dream she invested everything in – Ottawa Nautilus Fit24, a gym in Ottawa, Illinois – is up for sale.

"I’m doing the best I can," she said. "Today I’m at the gym and a regular customer who had not been here since March of last year came in. Everyone was in tears. He has M.S. and came in for me to fix his phone and feel the gym out with the new rules. Although I have stayed in touch with him and many others that still haven’t returned, just having him here and seeing him to make sure he was OK means so much. We are a family – new members and old members. We help each other, whether it’s fixing a phone or just lifting each other’s spirits."

The weight of COVID-19 mitigation crushed the small business sector in Illinois. Owners like Denetta Flamingo sold off equipment and other assets to try and remain solvent.
Photo by Victor Freitas/Unsplash


Nautilus Fit24 has been in business since 1974. Denetta began working at the gym in 2009 and purchased it in 2014 when the previous owner left Illinois.

"How can you let a business that’s been around that long go under?" Denetta said. She’s fighting to keep the gym open, even if that means it’s under new ownership. "A new owner will have the funds to bring this gym back to its prime."

Continuing to fight means struggling. Denetta has been steadily selling off equipment and personal items during the pandemic just to pay her bills. She ultimately had to leverage the equity on her home of 30 years by selling it to keep the business open. She was denied state grant money. She wasn’t eligible for federal Paycheck Protection Program money, either.

There’s a hole in Illinois’ economy. Denetta has been trying to fill her portion with heart and hard work.

Over 11,200 retailers in Illinois were forced to close up shop last year.

Small shops were hit the hardest – 35% of small businesses have closed in Illinois as of March 3, compared to Jan. 1, 2020, according to data from The Opportunity Insights Tracker.

Those retailers represent jobs on a large scale – small businesses have traditionally created the majority of new jobs each year in Illinois. And the loss of these businesses carries worrisome implications for the state’s workforce and its economic recovery more broadly.

So what happens next? How many of the small businesses left standing will survive in the long run?

The short answer is, 2021 will still be a grind.

"With each day that [the government] lets us open up, it is looking better and the weather has been very cooperative," said Kristan Vaughan, who operates Vaughan Hospitality Group, with six Irish pubs across the Chicago area.

It used to be seven pubs.

"We closed one location permanently and are maximizing PPP and Employee Retention Credit, but Illinois still tries to beat the small business when they are down with the property taxes, fee hikes and more," she said.

Those cost burdens are what Illinois needs to get under control. Otherwise, any bounce-back small businesses make will be hindered and likely continue to lag the rest of the Midwest. In Illinois the leisure and entertainment industry, which includes restaurants, lost jobs 61% faster during 2020 than the nation as a whole.

These numbers are a huge problem for Illinois: the people who live and work here, as well as the politicians tasked with running the state. Small businesses are the main job providers in the state – 69% of all new jobs created in Illinois come from firms with fewer than 20 employees.

The pandemic has affected everyone, but the economic fallout has been especially devastating for specific groups. In addition to retailers, restaurant owners and other small business owners, women, working mothers and Black Illinoisans suffered the worst in terms of job losses. So did low-income families – 36% of workers in households earning less than $40,000 lost jobs.

COVID-19 is the reason for devastation of this magnitude. But it’s important to acknowledge that Illinois had been lagging the rest of the country for years on economic gains and opportunities for the people who call the state home, as well as for the people who used to call it home.

If you do what you always did, you’ll get what you always got. If Illinois doesn’t change, it’ll mean more public debt: which drives higher taxes, a decline in services and more people leaving. It’ll also make the odds even longer for business owners trying to survive.



Hilary Gowins is vice president of communications at the Illinois Policy Institute, a nonpartisan research organization that promotes responsible government and free market principles.


Cha-ching! Illinois minimum wage climbs to $11/hr January

In 12 days, starting on January 1, 2021, new minimum wage rates will go into effect in Illinois. The statewide minimum wage rate increases to $11 per hour and to $6.60 for tipped workers. Despite the turbulent effects of the COVID-19 pandemic on the business economy this year, most Illinoisans saw two minimum wage increases -- first to $9.25 in January and then to $10 in July.

"We want to make sure that workers earning minimum wage are aware that the $1 increase should be reflected in their pay checks for any time they work after the first of the year," said Michael Kleinik, director of the Illinois Department of Labor. "While we fully expect employers will pay the new wage, we also want workers to be aware of the change."

State minimum wage news In 2019, Pritzker signed legislation into law a plan to increase minimum wage rate to $15 per hour and $9 for tipped workers by 2025. The new law kept in place allowances for employers to count gratuities to offset wages for workers such as food servers who regularly earn tips. Tipped employees may be paid 60% of the hourly minimum wage. Officials say these workers must still earn the minimum wage after receiving tips or the employer is required make up the shortfall.

Before the increases over past 12 months, the state's minimum wage rate was $8.25 and $13 per hour in Cook County. Currently, Chicago's minimum wage is $13.50 per hour for "small employers" and $14 for "large employers." Chicago, thanks to an ordinance approved by the city council in November 2019, will reach the mandated $15 per hour by the state almost four years earlier in July of next year.

According to a 2017 report by the National Employment Law Project, 41 percent of all workers in Illinois currently earn under the living wage of $15 per hour. That fact was backed up in a more recent study by the Illinois Economic Policy Institute at the University of Illinois said more than 1.4 million adult hourly workers in Illinois make less than $15 per hour. Illinois was the first state in Midwest to officially move to a $15 minimum wage standard.

Employees with problems regarding the minimum wage can file a complaint with Illinois Department of Labor (IDOL) or call (312) 793-2800. It is illegal for your employer to fire or retaliate against you in any way for asking about minimum wage compensation. Should you feel you have been treated unfairly for asking or complaining about your wages, you should the IDOL, the US Department of Labor or speak to a local attorney specializing in employment law.

Employers in Illinois are required to post the "Your Rights Under Illinois Employment Laws" posters in a conspicuous location where notices to employees are normally displayed.

If you feel you are a victim of illegal discrimination, you should contact the Illinois Department of Human Rights, contact the Equal Employment Opportunity Commission (EEOC) or an attorney.


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