The movement to cap insulin prices for diabetes patients grew larger in the United States this week. Consumer advocates in North Dakota say the news is welcome as state and federal policies evolve to limit skyrocketing costs for the drug.

On Monday, Sanofi became the latest manufacturer to implement insulin price cuts, capping out-of-pocket expenses at $35 a month. That mirrors a federal change adopted in 2022 for Medicare enrollees.

Josh Askvig, AARP North Dakota state director, said mounting pressure from grassroots efforts is sparking change.

"It's clear that consumers have said 'enough,' and there's been work on the advocacy front, including here in North Dakota, to say we're not going to do this anymore," he said.

AARP was one of several groups to push a recent change in North Dakota law that caps insulin prices for state workers.

For its part, Sanofi said the voluntary step to reduce costs adds to other low-price approaches that have been weighed down by structural issues in the health-care system. However, analysts say manufacturers face growing competition from nonprofit ventures and other states pursuing their own insulin production.

Other federal policies kick in this year, requiring drug companies to pay a rebate to the government if their prices rise faster than inflation. As for the outlook in North Dakota, Askvig said more needs to be done.

"We now know Medicare is going to start negotiating prices," he said, "so is there an opportunity to reference Medicare-negotiated prices for state pricing in North Dakota?"

He said that's one of several possibilities to explore when the North Dakota Legislature reconvenes in early 2025.

When it comes to the insulin cost burden, Kaiser Family Foundation reported in 2022 that one in 20 customers - whose costs exceed private insurance caps - paid more than $150 per month to access the medication. Some drug companies have defended higher prices, saying they are the result of research and advances in technology.

Coloradans with low bank balances would be on the hook for an extra $225 a year if Congress votes to roll back a new rule capping overdraft fees at $5. Fees had been as high as $35.

The Consumer Financial Protection Bureau, the agency behind the new rule, recently lost its offices and all of its 1,700 workers as the so-called Department of Government Efficiency, informally run by SpaceX and Tesla CEO Elon Musk, went to work remaking the federal government.

Christine Chen Zinner, senior policy counsel at Americans for Financial Reform, said the bureau is critical for protecting American consumers.

"This is a law enforcement agency that protects everyday people when financial institutions cheat and defraud them," Chen Zinner explained. "In the short 14 years that it's been around, it has already recovered $21 billion for everyday people."

The bureau was set to regulate X, Musk's social media site, as it rolls out financial transactions similar to PayPal and Venmo. After workers were sent home, Musk posted "CFPB RIP." The financial industry also disagrees with the agency over what it called aggressive policing of wrongful home foreclosures and credit reports, fraudulent credit card charges and predatory junk fees.

The agency's fate could be decided in federal court. Nearly 77 million people voted for Trump.

Andrea Kuwik, policy and research director for the Bell Policy Center, acknowledged nearly 77 million people voted for Trump, and said many did so in part because they were struggling to make ends meet. She noted the bureau was set up precisely to protect people's pocketbooks and savings.

"There are a lot of folks that are struggling," Kuwik emphasized. "This entity has a proven track record of saving people money. Getting rid of that I think is counterproductive."

The 2008 subprime mortgage crash which led to the Great Recession showed what is at stake when financial institutions operate without real oversight. Zinner believes a strong and independent consumer protection agency which does not have to bend to the whims of politicians is essential.

"We simply can't have a fair market unless there is a strong enforcement agency there to enforce those laws and protect people," Zinner contended. "The Trump administration is now giving all sorts of financial companies a green light to defraud and gouge their customers."

Policy analysts have been sounding the alarm on the Department of Education's ability to reach and engage with low-income, disadvantaged and older student loan borrowers in Nevada and around the country.

With massive layoffs at the agency and the sunsetting of the Biden administration's income-driven repayment plan, the efforts will only get harder.

Sarah Sattelmeyer, education, opportunity and mobility project director for the progressive think tank New America, said the department recently closed applications for all income-driven repayment plans and it has left borrowers looking for answers and resources.

"Right now, there are a lot of things going on in terms of slashing federal workers, slashing contracts, sort of rethinking and pulling money out of programs," Sattelmeyer pointed out. "It is hard to serve people when you cut staff and resources in a system that is already underfunded. "

Biden's Saving for a Valuable Education plan, which offered millions of borrowers lower monthly payments and a shorter timeline for repayment is among the programs stuck in limbo. President Donald Trump has expressed disdain for the plan and is unlikely to extend it. A report by New America found the current situation can be especially unsettling for borrowers over 60, who are often caregivers for family members.

Tia Caldwell, a former analyst for New America, noted when older borrowers are approaching retirement age and are still having to repay their college debt, it can mean tough choices between paying their loans or covering everyday essentials. She emphasized if borrowers fall behind on their loans, the government can garnish their wages and even withhold some of their Social Security benefits.

"This affects more than just the individual, because they are very embedded with their community," Caldwell explained. "We see that it looks like around 85% of older borrowers have children and so of course if your parent is losing their tax refunds or having their Social Security garnished, that is going to affect you too."

Caldwell stressed older borrowers are parents, caregivers and supportive members of their communities. She and others at New America are calling on the federal government to streamline the process for loan forgiveness when higher-ed institutions close or borrowers become disabled. They also encouraged the government to keep income-driven repayment plans and limit harsh penalties for those who default.


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Nearly half of Americans age 50 and older are using credit cards to pay for basic living expenses, according to a new AARP survey, and a Minnesota expert has tips on how to keep that debt from becoming a major problem.

In the same national survey, almost nine in 10 respondents say unexpected expenses have contributed to their credit card debt.

Kevin O'Laughlin, a certified financial advisor at TruMix Advisors in the Twin Cities, said the results aren't surprising, since rising consumer costs take a bite out of savings and Social Security payments can't always keep pace.

He encouraged older adults concerned about their balance going up to do some careful planning.

"I think it comes down to taking a real hard look at where are there opportunities to supplement one purchase for another," he said.

That means, if possible, holding off on non-necessary purchases. Other tips apply to people of any age, including paying more than the minimum monthly amount due on cards. O'Laughlin said you can also call the credit card company and request a lower interest rate or see about transferring your balance to one that has a more desirable rate.

If you're still paying a mortgage, O'Laughlin said seeking a refinancing deal shouldn't be ruled out. As these challenges escalate for seniors, he said, it's a reminder to prioritize the basic needs of this demographic.

"Whether that's through an increase to Social Security checks, or maybe just streamlining the ability to work, part time or in some limited capacity, in retirement to supplement their cash flow needs."

If it all seems overwhelming, he said there are financial planners and programs willing to guide older adults at no charge. O'Laughlin's firm takes on pro bono cases, and he pointed to Lutheran Social Services as another resource. The Minnesota Financial Planning Association also does outreach for these services.