There are lots of articles about individuals in the US who have died because they were rationing or otherwise couldn't afford insulin.[1][2] How can this be the case if first-generation insulins are cheap? Are they rationing second-generation insulin analogs instead of using the more affordable first-generation insulins? If so, why?

[1] https://www.npr.org/sections/health-shots/2018/09/01/6416158...

[2] https://nymag.com/intelligencer/2019/07/another-person-has-d...