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Dr. Michelle Litchman shares that she’s aware of people who are struggling to pay for insulin and ended up sharing vials. In her research, Dr. Litchman found communities of people who help one another obtain insulin. Endocrinologist Dr. Afreen Shariff shares that underground insulin exchanges reflect the current situation with the economy and how our healthcare system is affecting everyday people. No one would choose to get this in nontraditional ways.