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Medicare spends $18,000 a year each to treat the vast numbers of type 2 diabetics on the rolls. Docs and Big Pharma make lots of money treating these people. They are a real cash cow. Since the most effective (and safest) treatment for type 2 diabetes is diet and exercise (which cost nothing), the policy should be that your medical costs will be covered for one year. After that you are on your own. It's called tough love.