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T1International Year in Review: 2024

T1International Year in Review: 2024

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As 2024 comes to an end, we’re taking a moment to reflect on the collective power of the T1International community. This year has been filled with challenges and victories as we’ve worked together to fight for affordable and accessible insulin. Here’s a month-by-month look at what we’ve accomplished, thanks to your support and the dedication of advocates across the globe.

White text on a blue background saying "January: We take action in humanitarian crises" with images of Mohammed at an IADA podium, and a screenshot from a webinar

January: We take action in humanitarian crises 

With the support of our MENA #insulin4all Chapter and other global advocates, a new checkpoint was opened to get medical aid, including insulin, into Gaza. This was part of a broader call for a humanitarian crossing to deliver life-saving care, later expanded to an escalated call for a ceasefire, medical envoy and ongoing medical aid. We also collaborated with Human Rights Watch, who released a report highlighting the urgent need for action.

Black text on grey background: "February: We build leadership of those most impacted with skilled trainings" and a photo of nine people smiling at the camera with Advocacy Network toolkits

February: We build leadership of those most impacted with skilled trainings

We held a training on creating powerful visuals for protests and demonstrations, one of over two dozen training sessions this year. These trainings equip advocates with the tools to amplify their voices and call for change. This year we also ran four working groups (The Fight for Five Working Group, the Federal Working Group, the State Working Group and Families United for Affordable Insulin) and launched a Speakers Bureau to better train our community to make the news!

White text on a blue background: "We mobilize our community in strategic protest action" With three photos and the logo of the Global Day of Action for #insulin4all

March: We mobilize our community in in strategic protest action

Hundreds of advocates participated in over a dozen events across the globe for the Global Day of Action for #insulin4all, sharing powerful stories about the urgent need for insulin equity. These events showcased the global solidarity of the diabetes community and amplified the voices of people impacted by high insulin costs. In addition to in-person actions, advocates engaged online, with thousands joining social media campaigns to demand change. The day was a reminder of the strength of collective advocacy in the fight for affordable and accessible insulin.

Graphic image of computer and bookshelves.

April: We research and write reports

We released the Public Pharma Toolkit, a resource for advocating for publicly produced insulin. Later in the year, Brazil announced plans to begin domestic production of insulin, making it free for diabetes patients. This milestone could serve as a model for future efforts in other countries. We also brought together advocates, legislators, researchers and more in a Public Pharma Roundtable at Yale Law School later in the year. April was also the month that our one-of-a-kind Out of Pocket cost survey data was published in Frontiers in Clinical Diabetes and Healthcare. This essential research puts real data to the realities of rationing that our community faces every day.

Picture of Spring 2024 Interfaith Center on Corporate Responsibility Conference.

May: We directly take on Big Pharma

Eli Lilly shareholders were asked to adopt a comprehensive human rights policy, thanks to over 1,000 petition signatures. Although the motion didn’t pass, we will continue to push for insulin as a human right.

Picture of Issue Brief and picture of person holding an insulin pen.

June: We collaborate to spotlight inequities in diabetes care

In June, T1International and Médecins Sans Frontières/Doctors Without Borders released a joint issue brief, Defeating the Double Standard in Diabetes Care. The brief highlighted the disparities in access to life-saving diabetes treatments and the urgent need for systemic change. This collaboration underscored the importance of partnerships in addressing global health inequities and advancing our mission.

T1International staff members and advocates in DC.

July: We build and celebrate momentum in the fight for affordable insulin

The U.S. Federal Trade Commission announced plans to investigate and sue insulin manufacturers and intermediaries for price gouging. This critical development followed years of advocacy for anticompetitive practices and patent thicketing, including significant contributions from T1International.

Three pictures of global partners.

August: We amplify stories and global partnerships

Global Advocate Kelia Moses shared their powerful story of living with diabetes in Sierra Leone in our blog. Stories like theirs remind us why we fight for insulin access everywhere. Partners Help Madina and We Care Sierra Leone made a documentary about the new Diabetes Care Unit at the Makeni Regional Hospital and held film screenings using their solar power cinema kit. Their work is just one of many partners and collaborators with whom T1International works.

T1International founder Liz Pfiester handing new Executive Director Shaina Kasper a megaphone.

September: We drive change through leadership and advocacy

We celebrated leadership transitions as Founder Elizabeth Pfiester passed the torch to our new Executive Director, Shaina Kasper. At a celebratory event, we reflected on past successes and looked toward the future. This month also marked our advocacy at the U.S. Senate, where we called out Big Pharma for their exploitative practices during hearings with Novo Nordisk.

Global advocates marching with hands raised.

October: We call on the World Health Organization to take meaningful action

In October, we submitted a proposal to add rapid-acting analog insulin to the World Health Organization’s Essential Medicines List (EML), a key step toward making insulin more accessible worldwide. This effort was supported by a broad coalition of researchers, advocates, and healthcare professionals who lent their expertise to the submission. The momentum around the EML submission reflects the power of collective advocacy and the potential for systemic change.

T1International global advocate Janice holding sign that reads "Stop the greed! Patients over profit!"

November: We recognize World Diabetes Day by taking action!

For World Diabetes Day in November, T1International delivered a petition to insulin manufacturers calling for $1 insulin pens and an end to the discontinuation of pens in South Africa. Alongside Médecins Sans Frontières, the Treatment Action Campaign, and Santé Diabète, we protested outside Novo Nordisk’s offices in Johannesburg to demand patient-centered policies. In the U.S., chapters like Washington #insulin4all also organized demonstrations to raise awareness of insulin’s unaffordability. These coordinated actions across the globe demonstrated the unwavering resolve of the diabetes community to hold manufacturers accountable and fight for justice.

T1International partner holding Levemir letter in Health and Human Services office.

December: We fight back against discontinuations and shortages

We submitted a letter to the U.S. Health and Human Services Department urging action on Novo Nordisk’s global discontinuation of Levemir, continuing our work on making medicines more accessible and affordable by decreasing access to care including patent reform and more.

Graphic image of people.

As we close out 2024, we remain committed to fighting for affordable and accessible insulin for all. We are working to do this more efficiently by streamlining our operations into one entity – starting in 2025, T1International USA will be the organizational home for all of T1International’s mission-driven work for insulin access and affordability around the world.

None of this work would be possible without your support. Together, we’ll continue to push boundaries, hold companies accountable, and make meaningful change in 2025 and beyond!

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