Reimbursement of insulin pumps | Minister Christian Dubé remains evasive

(Quebec) Diabetics who came to the National Assembly on Wednesday to demand reimbursement for the insulin pump said they were disappointed with the response from the Minister of Health, Christian Dubé.


“We were counting on the minister being open to this possibility, but he told us, in a very vague way, that it was not the government’s priority,” lamented the president of the Association québécoise des type 1 diabetics, Sophie St-Pierre.


PHOTO JACQUES BOISSINOT, THE CANADIAN PRESS

Quebec Minister of Health, Christian Dubé

“One thing, by the way, which has been said to diabetes associations for years, is that diabetes is not one of the government’s priorities. It might be time that we leave a little space for these diabetics, who can contribute a lot to society,” she added.

Currently, the purchase of a pump and its accessories represents an expense of approximately $6,000 to $10,000, argued alongside e.

He recalled that only a minor can request a refund; If you need a pump for the first time after the age of 18, the costs are not covered by the Régie de l’assurance santé du Québec (RAMQ).

However, in its report published in 2022, the National Institute of Excellence in Health and Social Services (INESSS) recommended extending coverage to all adults.


PHOTO EDOUARD PLANTE-FRÉCHETTE, LA PRESS

The deputies of Québec solidaire Vincent Marissa and Étienne Grandmont

It is a form of injustice that has been decried for a very, very long time. I was not very convinced by the minister’s response who told us: “Yes, yes, of course, shortly”. Shortly, this is an expression that I have heard very often.

Vincent Marissal, spokesperson for Québec solidaire (QS) in health

Earlier in the day, during question period, Mr. Dubé assured that he was working on the file, declaring at the same time that expanding coverage would require “excessively large sums.”

Approximately 60,000 Quebecers suffer from type 1 diabetes and rely on daily insulin injections or an insulin pump, a portable device that allows insulin to be injected directly into the body without having to use a syringe.

As it operates continuously, the pump makes it possible to control unstable diabetes, reduce the number of episodes of hypoglycemia, and make meal times and the organization of daily activities more flexible, we can read on the website of the Ministry of Health.

“It’s important (to respect) the ability of Quebecers to pay too. We spend more than 50 billion on health, Mme the president. At the moment, it’s certain that we have requests everywhere,” said the minister.

His press secretary later clarified that according to INESSS, the demand from diabetics represented an expense for the government of 328.8 million over five years. “We are currently working on different scenarios to have more precise amounts,” said Antoine De La Durantaye.

One thing is certain: “this disease is serious, it is difficult to control, and now we have technology that allows us to do it, so I would not see why children under 18 would have it. rights, and not adults, of tax payers,” reacted Mme St Pierre.

A spokesperson for the Quebec Association of Type 1 Diabetics, Pascal Lemieux, pointed out for his part that several other provinces already offered universal access to insulin pumps.

“Insulin is such a dangerous drug that […] It takes two signatures to inject insulin into a patient. And we ask the patient at home to juggle that, when we have technology that can prevent risks? », he was surprised.

According to Mr. Lemieux, the insulin pump is an essential tool for improving the health of type 1 diabetics and reducing significant health costs related to possible complications of the disease.


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