Decision Maker

Nicholas X. Duran

  • FL112
  • State Representative

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Petitioning Florida State Senate, Florida State House, Florida Governor, Nicholas Duran, Janet Cruz

Put a price cap on insulin in Florida

I am a Type 1 diabetic and I have been since 1994. Just a couple of years ago the cost for a 3-month supply of Novolog insulin, which I have to inject every time I eat, was $100. Now, a 1-month supply costs $458.77 and there is no discount for a 3-month supply, meaning I would have to pay almost $1,500 for a 3-month supply -- about $6,000 a year for just one type of insulin. However, pricing elsewhere shows that this high cost is not necessary. Canada’s price for insulin is $90, and Colorado recently passed an insulin price cap of $100 per month. It's time for Florida to join Colorado in passing a price cap on this life-saving drug. Type 1 diabetes, which according to the CDC accounts for about 5 percent of all diagnosed cases of diabetes, is an autoimmune condition in which the body attacks and destroys the insulin-producing beta cells of the pancreas. Because their bodies cannot make insulin, type 1 diabetics require insulin prescriptions to live (in some extreme cases this is true for type 2 patients as well).  "When type 1 diabetics take less insulin than they need, at the expense of having higher blood sugars… glucose rises significantly and in an attempt to find alternate fuels for the brain, keto acids are formed which are potentially toxic and lower the body's pH. DKA (Diabetic Ketoacidosis), when left untreated, can be lethal, and can set in quickly. In the absence of insulin a person might get DKA within 24 hours," - Robert A. Gabbay, the Chief Medical Officer and Senior Vice President at Joslin Diabetes Center in Boston. The price of insulin has skyrocketed in recent years, with the three manufacturers — Sanofi, Novo Nordisk and Eli Lilly — raising the list prices of their products in near lock step, prompting outcry from patient groups and doctors who have pointed out that the rising prices appear to have little to do with increased production costs. In the United States, just three pharmaceutical giants hold patents that allow them to manufacture insulin: Eli Lilly, Sanofi and Novo Nordisk. Put together, the “big three” made more than $12 billion in profits in 2014, with insulin accounting for a large portion. Because of the incredibly high cost of insulin and other expensive supplies to handle their diabetes, many diabetics are forced into dire situations. Many diabetics have resorted to rationing insulin, risking their lives every day because they can’t afford to pay for their next vial. People are forced to choose between the insulin they need to survive, and keeping a roof over their head and food on the table for their families. People’s lives shouldn’t be put at risk because the insulin they require to live isn’t deemed “necessary” by insurance. The insulin price cap in Colorado has shown that it’s possible for states to take control of outrageous insulin pricing and as a result, to save lives. It’s time for Florida to join them in protecting Floridians with diabetes from avoidable health risks. I urge you to look into the legislation that Colorado passed as a potential example for Florida to follow.

Matthew Barnes
97,974 supporters
Petitioning Michael Gottlieb

Safer Conditions for Cyclist, Motorist, and pedestrians.

ProblemDear Florida Legislators,As you may have heard just yesterday a fellow cyclist has died and many more have been critically injured as a result of vehicular homicide in Broward County just west of the city of Weston on SR 84. This is the last of a series of deaths and series injuries caused by negligent drivers that are paying attention to everything but driving their vehicles safely. As a road user of both on motor vehicles and human power vehicles. I have been witnessing and have suffered several of these accidents and related instances where drivers, distracted mainly by their cellular devices while driving, have become unable to safely operate their vehicle and have caused an accident. One just have to look out the window while you are onboard a car in a highway to see how dangerous the situation has become. I challenge you to count how many people have their phone on their hand talking, ore even more dangerous texting, watching a video, taking a selfie while their vehicle is going at over 55mph. Those people are not capable of fast reaction in the event of an emergency to safely maneuver and advert an accident. This is why every morning and every evening you have more and more pileups of mass transit accidents, and more of those causing critical injuries or death. According to the FDOT 2016 “Safety and Secure Travel” report:Fatalities due to lane departure and intersection crashes account for 69 percent of all traffic fatalities.Fatalities involving vulnerable road users in 2015 increased over the prior year—pedestrian fatalities increased from 606 to 632; motorcyclist fatalities increased from 449 to 583; and bicyclist fatalities increased from 135 to 153.This trend is ever increasing because as Floridians we have failed to realized the impact of handheld technology and in particular, cellular devices, have had a tremendous impact on the way we interact with the road and with our vehicles. We have failed to update/renovate/incorporate new legislation to help mitigate this challenge and avert this crisis that has already claimed so many lives.As an example of effective legislation that was resistant to passing for many years and that have saved countless lives on the road I cite the following form the same source the FDOT 2016 “Safety and Secure Travel” report:“Safety belt usage continued to climb, improving to 89.4 percent statewide—almost one point higher than the national average.”This shows that road conditions and people’s safety can be improved by a simple measure that has become second nature to all drivers in the state and around the country.SolutionThis is why I’m requesting the following changes and/or inclusions to Florida Law:The addition of “cyclist” and other “vulnerable road users” to the “Florida Move Over Law” a law that has already protected countless law enforcement and emergency personnel from injury and or death.The passing of a law that prohibits the action of handling a cellular devise with your hands while operating a motor vehicle.The treatment of such violations as it where or similar in severity as a DIU violation.Finally I leave you to think on the lives of the families of those whom have suffered these tragedies and especially this recent one. Imagine if your family was the one affected by this meaningless death this close to the holidays. This simple changes to traffic law will ensure that there are measures in place to prevent and prosecute these incidents in the future, and provide new drivers with rules to follow in order to get their driver’s license. I urge you to act as soon as possible because this can no longer be tolerated.Very Respectfully,Andres E. EstevezConcerned Florida Citizen and Cyclist

Andrés Estévez
38,700 supporters
Petitioning Bill Nelson, Buddy Dyer, Darren Soto, Elizabeth Warren, Bernie Sanders, Mario Diaz-Balart, Marco Rubio, Stephanie Murphy, Valdez Demings, Alfred Lawson, Kathy Castor, Charles Crist, Alcee Hastings,...

End tolls for Florida Residents

Why are Florida Residents being forced to pay to use our own roads? Why do people who live and work here have to choose between paying $200-400 dollars a month or spending an additional 20-30 hours a month sitting in their car in traffic just to go to work? This is absolutely outrageous, and it’s going to end. Florida residents should not be forced to pay to use roads that our own tax money builds. We ALL pay taxes. Whether it’s vehicle registration, sales tax, property tax, gas tax, cigarette tax, utility tax, communication tax...the list goes on and on. Commercial, industrial, and agricultural real estate holdings in Florida total in the hundreds of billions if not over a trillion dollars. A less than 1% tax on these holdings is more than enough to pay for ALL Florida residents to use the toll roads without getting gouged every time they do.  Sign this petition and share it everywhere. If you think the millionaires and billionaires who screwed up our state ought to be paying their fair share, let these 70+ government officials know.  This will easily get a million signatures if it gets passed around. There will be confusing arguments made, there will be complaining, we’ll get called liars and worse, but if we stand our ground in demanding an end to the tolls, we will succeed.  Give Florida Residents their roads back.

Matthew Fleming
5,497 supporters