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46 Responses

  1. Scott K. Johnson
    Scott K. Johnson March 27, 2009 at 5:24 am | | Reply

    As shocked and upset as I was to lose my job (which I loved), what saddened me the most was the abandonment of Cozmo.

    The people behind its design really had improving the lives of those with diabetes as their main focus. I have never worked with or met people as compassionate and dedicated as those behind the scenes at Cozmo.

    For me personally? I know that I need to be involved with diabetes in some fashion, and am confident that I’ll find something that is as fun and fulfilling as what I had at Smiths.

  2. Mike
    Mike March 27, 2009 at 5:52 am | | Reply

    With less competition I wonder how fast new pump features will be introduced. Animas is supposed to combine with Dexcom but there is no release date. The biggest problem I have with all of these companies is that you never know when enhancements will be introduced. The FDA can cause delays but that should not stop these companies from giving us estimated dates and letting us know what we can expect.
    Amy, you do a great job of keeping us informed. I urge you to talk with the remaining Pump & CGMS companies and urge them to update us on there projects and estimated time frames. Thanks

  3. k2
    k2 March 27, 2009 at 6:32 am | | Reply

    I was sad to hear that Cozmo was folding as well. As diabetics I believe that we need more pump options, not less.
    With Cozmo’s demise, not only do we have one less insulin pump on the market to chose from, but the loss has actually effected people that we know in our community on both a personal and professional level – which TOTALLY SUCKS.
    Kelly KM

  4. David Downs
    David Downs March 27, 2009 at 6:48 am | | Reply

    Amy, Your last comment says it all … “this sure has gotten me thinking about how important the company-behind-the-technology really is” … I think that’s why I’ll always be a Medtronic customer. They have never disappointed me in 12 happy years of pumping.

  5. Jill
    Jill March 27, 2009 at 8:40 am | | Reply

    Amy~ I was just as shocked as everyone else! Kacey’s Cozmo pump arrived 2 weeks ago and she started pumping with it 1 week ago and we knew nothing! Our CDE told us that we could probably send “Herbie” back since it’s been less than 30 days and pick another pump but that would sadden her too much so we’re going to stick it out for 4 years and hopefully they will stick to their promise to honor all warrenties and such. I’m gonna hold out hope that something wonderful hits the market in the next 4 years :)

  6. Don
    Don March 27, 2009 at 10:54 am | | Reply

    I wonder if Abbott’s decision to develop their own pump hurt any existing collaboration to integrate Navigator CGM into Cozmo. Developing CGM from scratch would have been a tremendous undertaking. Fortunately Smiths Medical is larger than just their pump division and I feel confident they will be around to provide support.

    Rant to follow:
    I really liked the customizability of the Cozmo and I understand the loyalty people felt. The more pump options we have, the more likely we can find one that really suits us. It does not surprise me Animas with its Ping remote control and Omnipod with its tubeless freedom are gaining market share. As Amy relayed the other day, having diabetes is a way of life and there is always room to make it easier with better pumps. All pumps on the market should have volume adjustable alarms, vibrate option, simultaneous audio and vibrate option, and custom alarms/ countdown timers that you can set to the minute. Beyond that, “Super’ bolus option to cover high carb meals should be standard. Why not a “variable” temp basal rate to cover exercise better and variable extended boluses to better cover gastroparesis or pizza? Why can’t I deliver another extended bolus while one is active? How about being able to program a bolus to be delivered at a later time? Why not have the option to customize what is displayed on the main screens?

  7. June S.
    June S. March 27, 2009 at 3:28 pm | | Reply

    I have been a Medtronic customer since February of 2008. Prior to that, I wore the OmniPod for one year. I LOVE the Paradigm 522 with Real-Time CGM. I did try the Dexcom 7 while I was wearing the OmniPod, and I did not find it to be reliable at all. The convenience of having the Medtronic Paradigm 522 communicating directly with the Real-Time transmitter/sensor gizmo is wonderful. Also, I find that the MiniMed CGM system is ultra-accurate during sleep, while my DexCom kept awakening me with lost signals. Long live Medtronic!!!!!!

  8. Jacey
    Jacey March 27, 2009 at 7:21 pm | | Reply

    This is just the beginning. With Obama’s national healthcare and the end to private insurance in the coming years, insulin pump manufacturers wont be able to make a profit. The government will be forced to ration healthcare and will determine that the costs of insulin pumps aren’t worth it and will refuse to pay for pumps. Studies will show that pumps don’t improve long term survival enough to justify its cost. Only wealthy individuals will be able to afford the device. There will only be one or two companies that will continue to manufacture insulin pumps and because of economies of scale the price will likely skyrocket. This is what the majority of you have wished for whether you realize it or not.

  9. MJ
    MJ March 27, 2009 at 7:47 pm | | Reply

    To the above poster, we ALREADY ration HEALTHCARE.

    Think about it. 15% of people in the US are Uninsured, 25 percent of people are on medicaid or medicare, and the rest of us, 60% of us rely on private insurance to cover costs.

    The 75% of people (60 + 15 percent) who have private insurance or don’t have insurance receive medical care EXCLUSIVELY based on their ability of themselves or their employer to PAY for it. There really are not many outlets other than this to receive healthcare in the US, for this select group of people, which happens to be the majority of us.

    We may not ration healthcare because of a shortage of supplies, assets, medical professionals, whatever, BUT we DO RATION based on a person’s ability to pay for insurance.

    If you look at the growth GDP vs. healthcare expenditures over time, you will realize that we cannot sustain using the same system that we currently have.

    As for the Cozmo, I really feel that this was a marketing issue. They never did have good marketing, their reps weren’t pushy enough, but they really did make a good device. I heard that their customer service was decent.

  10. Jacey
    Jacey March 27, 2009 at 9:19 pm | | Reply

    It’s not a perfect system that’s for sure. But I’d rather have free markets and yes, that dirty word, capitalism, that develop and take risks with new drugs and technologies that eventually reach 75% of the population. Many drug companies and suppliers offer reduced rates for drugs/supplies for the uninsured and most States offer health insurance for children. Why socialize healthcare when it for the most part has served us and the world so well? Where will the drug development $$ come from under socialized healthcare? Will drug developers now work for the federal government? What types of incentives will there be? I and others I speak with in the medical profession see a world of healthcare decline and substandard care under the govt. plan. A friend of mine in Canada had to wait an entire year to get an appointment for an MRI. He drove across the border to Detroit and had one done the next day and was diagnosed with ALS. To make matters worse the Canadian govt plan wouldn’t accept a third party MRI for diagnosis and he had to wait nearly 10 months before he could be covered with the proper meds. I hope and pray Obama’s plan doesn’t see the light of day.

  11. pking
    pking March 27, 2009 at 11:46 pm | | Reply

    @Jacey: “Why socialize healthcare when it for the most part has served us and the world so well?”

    The rest of the industrialized world has socialized medicine (or versions closer to that than to our system). That’s a widely known fact. Also, I work for a company that moved to California from British Columbia a couple of years ago. Every one of the Canadians I work with would tell you that their health care options in the US are nothing more than a hassle, and certainly not any better (or worse) than what was easily available up North.

    Anyway, I wanted to comment on the Cozmo going away. It’s a bummer to have less competition in the market, though I’ve never been really sure what Cozmo has added to the scene. One of the unfortunate problems with choosing pumps is that few if any (other than Amy) ever get to try out pumps for more than a few minutes. You can’t realistically “try” a pump without buying it, and the return process for comparison sake is just a huge hassle for everyone involved. I tried out a Cozmo for about a half hour and basically thought it was the wrong shape to be comfortably carried around – the same reason why I didn’t like the OmniPod. The meter strapped to the back seemed like a gimmick, since one still has to carry around a lancet and strips. I’d suggest that it wasn’t good or bad design that killed the Cozmo, it was probably just management and that they had a hard time competing / keeping up with other products.

    Amy’s surprise that the best designed products don’t always win is kind of funny — I find it to be quite *rare* that the best designed product wins. The best design often requires more up-front investment in a product, sometimes costs more, and that’s to say nothing about reliability or marketing. Think of how close Apple came to failing in the 90′s, when their competition wasn’t paying any attention to design at all. Lots of nice products fail.

    @Mike – I couldn’t agree more. I wish Medtronic and Animas would give some update on what they’re working on, or at least when the stuff we know about is likely to hit the market. FWIW – I’ve heard that the Animas+Dexcom will be out in Q4 2009.

  12. Diabetes Care Robert
    Diabetes Care Robert March 28, 2009 at 6:31 am | | Reply

    Sad that the makers of Cozmo did all the right things when desigining it, only to have it fail because of other reasons. It is so frustrating when a company makes poor business decisions, as it seems was the case here. How often are consumers made to suffer for the lack of common sense among businesses?

  13. Cindy
    Cindy March 28, 2009 at 7:49 am | | Reply

    I like my Cozmo a lot and thought I would probably stick with it when time came to get another pump. Customer service was pretty good too.
    My warranty expired last month and my insurance company won’t pay for another pump until the current one dies. (Then it’s injections and a mad scramble to get a pump as quick as I can.)

    So my plan is to stay current on what’s available because when I need my next one, it’s going to be an emergency and there won’t be time to figure out which one I want.

    I switched to Cozmo from Minimed because I liked the Cozmo features and I didn’t like the direction Medtronic was taking Minimed with its proprietary supplies.

  14. Jacey
    Jacey March 28, 2009 at 6:45 pm | | Reply

    The rest of the industrialized world has socialized medicine (or versions closer to that than to our system).

    They’ve been able to survive because of American medical discoveries and technology. Name a drug discovery from Canada.

  15. Michael
    Michael March 28, 2009 at 9:13 pm | | Reply

    First time responding to an article. I am 49 years old. Type 1 diagnosis in ’07; started Cosmo in ’08. I cannot say enough about the quality of the Cosmo product. But far above that, I cannot say enough about the quality of the people behind their product. News of Cosmos demise saddens me. Equally upsetting to me is how I found out. On Friday March 27, at 6:30pm, during supper, one day after the announcement, some arrogant SOB of a salesman from Medtronic had to call me and reassure me that they would like my business when the time comes to get a new pump. Is that not like “hitting on” the widow on the day after the funeral? Thanks Medronic—————– but no thanks.

    Michael

  16. Lauren
    Lauren March 28, 2009 at 10:00 pm | | Reply

    To say that health care in America should be left to the free market is sheer absurdity.

    These companies are about profits — therefore it’s always in their interest to deny care, stall, and refuse to pay claims. And people die as a result. I am a medical student and prior to starting school I worked in 2 clinics. Patients whose chemotherapy was denied for nonsense reasons died as a result. I am a type 1 diabetic and my insurance company does not pay for INSULIN because it’s “for parenteral use,” not a “genetic” medication, etc. Unbelievable.

    Our current system is a disaster. The insurance companies spend far more on administrative costs than they spend on actually paying medical claims. It is appallingly inefficient but beyond that it is immoral. I don’t know how anyone can defend companies who value money over the lives of sick and injured people — the most vulnerable people, the ones who need help and care the most. If a society is judged by how it treats its weakest members, what does that say about us as Americans?

  17. Ellen
    Ellen March 29, 2009 at 11:23 am | | Reply

    So disappointing on many fronts. Surely MM has much deeper pockets to fight the IP litigation. Does anyone have an opinion about the alleged infringement (although it’s moot)?

    Does this bode less well for Abbott to emerge with their Aviator with remote? How much harder will it be now to bring a new pump to market.

    Will the trend be to go to more disposable smaller upfront costs, rather than the large investment we pay now with MM, Roche and Animas?

    Amy, who do you see as a front runner in patch pump technology although not yet on the market? We haven’t seen what Medingo has in store because it’s not FDA approved. They have several patent applications on file at the USPTO.

  18. Kevin D.
    Kevin D. March 29, 2009 at 1:31 pm | | Reply

    This truely saddened me when I heard the news. Prior to going on the Cozmo two months ago I was on two different Animas’s for 6 years. I love Animas but was having a huge problem with the bolus speed being to fast. Pretty much, that was and still is my sole issue. I’d bolus for 10 units of insulin, and 5 units would come out around the canula. With the Cozmo I no longer have that problem.

    Medtronic in my opinion is hugely lacking as an insulin pump. They haven’t added a pump feature in I’m thinking about 4 years now. Everything has been towards their CGM. They are supposedly coming out with a new pump this coming summer but from my insider talks all the features they are adding to the pump are to attract a wider variety of users. Features sure as larger maximum boluses (for type 2s) and smaller basal rates (for children) but nothing in terms of stuff like Animas (meter to completely control the pump) or Cozmo (bolus disconnect, programmable bolus names, more info on home screens without digging/IOB, food database for new pumpers, etc.)

    As for the lawsuit, which I think was the ultimate demise of Cozmo, I think it was just a way for the big company to squash the little company. There were about 6 issues in the lawsuit dealing with patent infringement and the huge one that irks me is the bolus wizard. For Animas uses you will know when you use the bolus wizard it does not fill in the bolus amount. It will show you the amount, then you have to use the arrows to program that amount before hitting go. On the Cozmo and MM it automatically fills in the number and that one of the suits with Cozmo. MM sued them saying that violated their patent and made them pay royalties on every pump sold because of that. Is that really how sad we have gotten when a 700+ million dollar company sues a 36 million dollar one over that small feature?

    That’s it with my rave. And can we please stay away from the socialized healthcare here. FYI…both systems suck. In socialized countries basic care is free, if you need advanced care though, you have to pay out the pocket or have private insurance as well. And even then, that still doesn’t stop companies from being denied when their prices are so high. Many docs already refuse medicare patients because what medicare pays isn’t enough for them. It’s a lose both ways.

  19. Jacey
    Jacey March 29, 2009 at 4:25 pm | | Reply

    To Lauren. I feel bad for you. How will you ever pay your med school loans off. I’ll check back in with you in about 5 years and see what you think about obama care.

  20. Melissa
    Melissa March 30, 2009 at 9:20 am | | Reply

    If America has such a wonderful healthcare system how come we are 37 on the list of best healthcare systems worldwide? Guess who is first. France. France, where they have a socialized healthcare system. Not all socialized healthcare systems work, that is true as we Canada struggling with their current system. However, google France’s healthcare system and tell me that wouldn’t be better than what we have.

    And as for the programs we have in place to help the poor pay for the medications, did you ever stop to wonder how the drug companies recoup the money lost from those programs? Higher drug costs for the rest of us. It becomes a vicious cycle, eventually we’ll all be on their “poor programs”, then who is going to pay at all?

  21. J
    J March 30, 2009 at 9:48 am | | Reply

    Jacey, insulin was discovered in Canada. More recently, Lantus was developed in Germany, another country with socialized medicine.

  22. Jacey
    Jacey March 30, 2009 at 10:07 am | | Reply

    J: You are right about insulin in Canada, as well as the Salk Polio vaccine…but this was well before socialized medicine in Canada. I’ve read that if you compare pre and post socialized care, drug discoveries plummeted. It’s too late now…we are on our way to Obamacare and we better start planning.

  23. Jacey
    Jacey March 30, 2009 at 10:14 am | | Reply

    I’m glad I found this site. Another liberal leaning health affairs site. I love stirring the pot here. Please forgive me.

  24. Romeo Thibert
    Romeo Thibert March 30, 2009 at 11:10 am | | Reply

    You know, being a Canadian reading everybodies misconceptions about what our socialized medicine is like haven’t a clue. It took ten years before my employer health plan, which I pay for changed enough to even help with test strips. Five years ago my wifes plan started paying for strips and a portion of my pump supplies. Unbridled capitalism creats unbridled greed, healthcare like everything else, needs balance.Inovation will bring us to a better place, I hope.

  25. Jacey
    Jacey March 30, 2009 at 11:25 am | | Reply

    Romeo: I am a student of Socialism. Socialism is the easiest system to corrupt, it eventually leads to fascism and communism. The ideals are wonderful up front but it has never worked. Capitalism with proper controls and regulations is far superior. Don’t trust me…research yourself.

  26. Jonathan Davidson
    Jonathan Davidson March 30, 2009 at 4:25 pm | | Reply

    I’m not surprised by this. Between Cozmo and Minimed, they need to listen to you Amy and stop making ugly unattractive pumps. Cozmo won’t have that chance anymore. I am not surprised, however, that Animas is gaining strides in the market. Their pump actually looks sleek and unassuming. The Minimed pump is the calculator watch of insulin pumps. It just doesn’t look attractive and focuses on function over form. Let’s hope the industry learns its lesson.

  27. Lauren
    Lauren March 30, 2009 at 11:04 pm | | Reply

    Jacey, thanks to public education — another great example of what you call “socialism” in action — my loans are manageable. And there are loan repayment programs for providing medical care to under-served communities.

    And once you have seen people suffer horribly and lose their lives — yes, people who have faithfully paid their ever-rising insurance premiums for decades — you can no longer see the health care problem in America in the abstract. It is a reality, a nightmare, for many patients and their families. I wouldn’t make a very good doctor if I could ignore the disaster that is corporate health care in America, because that would mean ignoring the suffering of my patients.

    If you don’t think insurance companies have every incentive to rip off doctors and hospitals left and right, you know nothing about the reality of practicing medicine in this country. United Healthcare was recently fined hundreds of millions of dollars for falsely denying and delaying payment of claims to providers throughout California. This is standard practice.

    Any doctor’s office, any hospital billing department will tell you the same thing: getting claims paid, properly adjudicated, or done right the first time is impossible with these private insurers.

    Let’s put people’s lives over both profits and politics.

  28. Shannon
    Shannon March 31, 2009 at 7:38 am | | Reply

    My son and I love his Cozmo. I have nothing bad at all to say about it. We’ve been using it since the year after it first came out.

    Hopefully one of the companies buys up the Cozmo technology and takes on the manufacturing of the product. I’m pissed that Cozmo is discontinued now. THANKS A LOT SMITHS.

  29. Jacey
    Jacey March 31, 2009 at 3:25 pm | | Reply

    Lauren: Unfortunately, we live in two different worlds. Within my very large family and group of friends. None have ever been denied healthcare at a reasonable cost. None have ever had their claims denied, questions yes, some prodding, yes, but in the end they got what they needed. Their co-pays are affordable, they use their health savings accounts, and manage their health in responsible ways. Almost all states now have insurance coverages for children. It seems that you are projecting your experiences in the medical setting/hospital as happening to everyone. Most of us are quite happy with our insurance companies and we favor helping low income families afford insurance. Moving everyone to a socialized medicine plan will benefit a few but hurt most of us in the long run.

  30. Lauren
    Lauren March 31, 2009 at 5:45 pm | | Reply

    Sorry Jacey, but if even ONE person dies because of an insurance company’s decision to, for example, not pay for chemotherapy for a rare cancer (and I have seen this happen), that’s a crime.

    Let’s see — how would you justify an insurance company’s decision to deny INSULIN prescription coverage to a type 1 diabetic? How am I supposed to manage my health “in a reasonable way” without insulin and test strips? There’s no way to defend it.

    I have seen firsthand what these insurance companies do to patients while they slash reimbursements to physicians. The insurance companies are posting record profits at the expense of people’s lives. That’s the reality of it. The majority of Americans with chronic illnesses are struggling to get their basic needs covered — and I’m one of them.

    (And now I should stop taking the bait when it comes to uninformed posters who don’t care for the progressive direction our country has taken.)

  31. Jacey
    Jacey March 31, 2009 at 10:26 pm | | Reply

    Lauren: I think that we agree that our health care system is riddled with inefficiencies, excessive administrative expenses, inflated prices, poor management, and inappropriate care, waste and fraud. These problems significantly increase the cost of medical care and health insurance for employers and workers and affect the security of families. We likely differ on how to fix these things. I still have hope in the private sector. Have you ever been to the DMV? That’s what your “progressive” health plan will be. By the way, insurance companies are not posting record profits. I know because I invest in them regularly. Canada is also hiring doctors.

  32. Jacey
    Jacey April 1, 2009 at 7:55 am | | Reply

    The only example we have to gauge the govt ability to deliver healthcare is the failed medicare and medicaid programs.
    Latest govt healthcare news:
    Over 11,000 veterans who received routine colonoscopies at three VA health centers are being warned to get blood tests for HIV, hepatitis, and other malignant viral infections in the wake of revelations that government-employed clinic staffers frequently neglected to sterilize the equipment between procedures.

  33. Frustrated
    Frustrated April 3, 2009 at 8:54 pm | | Reply

    May I ask how Americans have become so brainwashed? And who has done this to them? And most importantly, why? As a Canadian who works in healthcare, I am constantly correcting Americans regarding our healthcare system. This is the only post that I will make regarding the issue because frankly I am frustrated by the misinformation. Canada is not a 3rd world country, we are a capitalist society who gives everyone equal access to quality healthcare, like all other 1st world countries (I.e. France, Sweden, Australia, etc.).

    1.) Some ill informed person on here posted that we only have ‘basic’ coverage and must pay for ‘advanced care’. That is absurd. And completely false. I have yet to hear that one. If I am in a car accident here, I can go to the nearest hospital trauma centre (ANY one, not just an ‘approved’ one as in the US) and get immediate treatment. Our hospitals are just as modern and advanced as your typical hospital in the US. And I will walk out without a bill, co-pays, increased insurance premiums, or a denial of coverage. These concepts don’t exist here. Rich or poor, sick or healthy, everyone gets equal coverage as a birthright.

    2.) I can see any doctor that I wish. You do need a referral to see a specialist, which is not an issue if you actually have a disease that requires one (I.e. Type 1 diabetes).

    3.) Canadian trained doctors are trained to higher level than US doctors. It is harder to get into our medical schools (with the exception of the American Ivy league schools). We do not offer ‘DO’ programs like the US does. Canadian doctors can work anywhere (including the US) after graduation. American doctors must undergo further testing and/or training before they can work in Canada. In most provinces, scuh as Alberta and Ontario, our nurses (new RNs) must now have a 4 year degree, and our LPNs must have a 2 year diploma. In the US, nurses can have anywhere from a 10 month (LPN) to 2 year nursing education (Associate RN degree). Our nurses and doctors are generally paid very well, although you won’t find (m)any millionaire MDs here. But who can complain about an RN making $43 per hour, or an MD making $250,000+? Plus, you’ll never have to turn away a patient because they couldn’t pay.

    The Canadian system isn’t perfect, but that’s not the point. The point is that I am always shocked at the propaganda that the US is fed. We do have some issues with doctor shortages (due to retirement) and wait times for NON-URGENT tests. A major drain on our healthcare system is the American culture that influences our behaviour. 75% of Americans are obese or overweight. Most eat junk and processed foods. 7-10% of the American population has Type 2 diabetes, which is largely related to lifestyle. Many people take multiple prescription medications as opposed to making healthy lifestyle changes. Many of the problems that cause Americans to need healthcare are preventable. While Canada is not nearly as ‘bad’ as the US, we are having similar issues. An aging population surge (The ‘Baby Boomers’, which will pass) and obesity is what I believe is affecting our healthcare system.

    This is one downside if the American system adopts government subsidized healthcare. The US is simply too sick to sustain such a system in its current state. The people too sick to get insurance (largely due to lifestyle) will have to pass on before a system could be implemented. While no one wants to let a woman with genetic breast cancer die, you can’t pay for the 70% of the population (!) who is obese and has obesity related disease either. It just won’t work. Canada has healthy living education programs in place to help prevent chronic disease in future generations, but I see little of that in the US. With private insurance, I suppose there is little incentive to create such programs. That needs to change. Americans are sick, and they need to take responsbility for their own health.

    Overall, the Canadian system is still doing well, however. We are no longer ranked at the very top, but we still rank high. Our population lives better and longer than the US, and we spend less healthcare money per person as well. Our healthcare is NOT that bad! It is overall quite good.

    If you look at France for example, their ‘socialist’ healhcare is STILL working well because they are not fat! They walk everywhere! They eat less processed foods! They take responsibility for their own health, unlike most Americans, and a growing number of Canadians. Canadians need to start taking cues from Europe and not the US. A pill or quick fix will not wipe away years of poor health and bad habits.

    Let me just say that American healthcare is not the ‘American Dream’ for those who are uninsured, or uninsurable (I.e. diabetics, cancer patients, etc.). The American system is not as great as one may think. Even some of those with good plans have high co-pays and can be denied coverage.

    For those Canadians who complain about our healthcare, they are more often than not the ones who go to the ER and wait ’8 hours’ because they have a cold virus or ear infection. The ER is for EMERGENCIES.

    Some patients who complain that they ‘can’t find’ a doctor simply don’t want to see the MDs who are taking patients! I have seen this with my own eyes!

    People who actually need surgery/tests/MRIs will get them promptly. If you need an MRI for suspected tumours for example, you will get it promptly. A hospital in Toronto was actually offering MRIs around the clock so patients could get in sooner…and so patients working shifts could come in and not have to miss work. But many patients refused because they didn’t want to get their MRI at 7 pm when “Survivor was on”. If you have an urgent condition that requires a test, you WILL get it in a relatively timely fashion. Our waitlists for non-urgent surgery are longer largely due to the increase in obesity related conditions (I.e. joint replacement). But if you need emergency by-pass surgery, you will get it.

    As a Type 1 diabetic, I am thankful for our healthcare system. If I need to see a dietitian, nurse educator, endo, bloodwork, etc. I can make some calls and do so…at no cost to me. How many young uninsurable Americans in my situation die or suffer because they do not have that option? As the economy crumbles, I expect more and more people to be uninsured, and uninsurable.

    Personal responsibility for our health and equal (quality) healthcare for all is the only way to sustain the health of a society.

    P.S. As per the original post, I am sad to see the Cozmo go. Great pump, mush better than any garbage that Medtronic has put out (I have used both). MM products are over-hyped, over-pushed, over-marketed, and over-rated. Cozmo was one of the best, in my opinion.

  34. Jan
    Jan April 4, 2009 at 3:04 pm | | Reply

    Very sorry about Cozmo being removed from the market. The more competition in the industy, the better it will be for the consumer. My niece would not consider the Cozmo due to its shape. Kids!! But it did have some features our Animas and now our MM Paradigm pump did not have. Perhaps Abbott can pick up the Cozmo; I know they want to come out with their own insulin pump. It would be a wonderful opportunity. I disagree with many opinions I have seen on blogs and on websites about Medtronic Minimed being the inferior pump. For those 7 out of 10 new customers choosing Animas, I have three words to say: “Prime, No Delivery.” Most likely you will see those three words over and over again, necessitating your pump being sent back and a refurbished pump sent in its place. Animas had a CalKing database on her pump, never used it. I do miss their beautiful screen and being able to access insulin on board without giving a pretend BS reading and going through a fake bolus. THAT Minimed has GOT to change. Other than that, it is a workhorse that has not failed us ONCE in the one and a half years my niece has been on it. I certainly cannot say that for her Animas. Animas tried to send us a refurbished pump when hers malfunctioned TWO WEEKS after purchasing our brand new pump. I had to fight hard and long, going up the ladder, to get a new one sent. Our school nurse accidentally tightened the battery cap such that we cannot pry it off our Minimed pump. Since this pump has been so reliable, when I told the Minimed tech that I was very leary of refurbished pumps and insisted on waiting for them to fix our pump and send it back to us, he told us he could not do that. I hung up, miffed. He called me BACK and offered and sent UPS overnight today a BRAND NEW Minimed pump. Minimed has every feature you will ever need on a pump, with the exception of the IOB — it’s a pain, but we can deal with that. It has integrated cgms so the kid does not have to carry along two — make that three because she does not use the One Touch meter — devices. It is the EXACT SAME SIZE, give or take a HAIR of our old Animas pump. True, I am WAITING for the smaller sized introducer needle for the cgms and it has not arrived. Customer service for us has been great. You do have to wait a bit longer on the phone to get a Rep than Animas. But most important to me is Minimed’s product. It has not broken down. It is reliable. Behind it stands a company putting back millions into research each year to improve their product. None of the other pumps have integrated cgms and it seems like it will now be two more years before they do. Waterproof? We always had to disconnect Animas in the water because if there is a crack in the casing, that pump will die. And since her blood sugars plummet during swimming, I would always disconnect for her own safety. I love, love, love the design and the wirelessness of the Omnipod but I hear Minimed will come out with a product somewhat like it in the future. They are tops in my books because their product has been so reliable, whereas the first pump we had was not. The pump is her lifeline. Reliability trumps cosmetic appearance (with the exception of the OmniPod, they are all too-large boxes); it trumps Customer Service (I am going to buy the pump which I feel is the best product); it trumps everything in my book.

  35. Andy
    Andy April 10, 2009 at 1:37 am | | Reply

    Hi !
    Like someone before said Minimed has had *any* good feature added in last few years… I am currently considering pump (I am wearing 508 that was lend to me, by a friend) and with new advances everywhere (Roche and Dana, which are other two companies here) I am buffled what MM is doing. I mean all other pump manufacturers have already their wireless meter, which can control pump, while MM is holding on to their useless remote control (which is useless because you don’t know what you are doing). Dana has with their new pump wonderful remote, which can tell you what pump is doing and you also can measure BG with it… it’s much smaller than ping and more remote like, but hey… Friend is waiting for new MM pump, which should be out soon, but he told me that all new features are centered arround closed -loop… Heck who cares about that, at least we adults don’t. I don’t know any adult diabetic who would use CGMS always, some use it just for few days each month in which they correct their basals and not even that…
    Andy

  36. Jeff Jodoin
    Jeff Jodoin April 15, 2009 at 9:19 am | | Reply

    People, its this simple.

    NONE of the pumps on the market have all of the features that the
    DELTEC Cozmo had. Period.

    Minimed scares me since they ONLY innovate when there is competition in the market. Disetronic forced minimed to innovate just as DELTEC has
    forced them to innovate.

    MiniMed seems to be in the mindset that customization is a bad thing. I totally 100% disagree. The cozmo let you customize all sorts of things.

    It wasn’t perfect. The CozMonitor blocked the IR ports so it became a
    pain to download info from the pump to your computer. The trending software on the computer … from FreeStyle actually, was definitely
    worst in class.

    But being waterproof, having missed meal reminders, having site change (infusion set) reminders, IOB, luer lock connections (not
    proprietary crap), etc., etc., etc. made it the king.

    The biggest issue of course is the patent lawsuit. Concerning a patent
    that is probably illegal. (If someone has the patent number, please
    post it here and I’ll work to get it overturned.) Software cannot be patented. Obvious features cannot be patented. Calculations that you
    do in your head cannot be patented. Deltec (Smith’s) rolling over for
    the lawsuit made a very ill-informed decision. I will work to get the
    bolus calculation stuff turned over so that Animas can put the feature
    in their pump so I have one to switch to.

    Just my two cents.

    jeffrey

    jcjodoin@yahoo.com

  37. LLF
    LLF April 15, 2009 at 2:31 pm | | Reply

    Oh, I love my Cozmo.
    I hate to see this happening.
    I just spent the weekend without my Cozmonitor (had to order a new one) and hated every minute of it.
    I never had one problem with the pump or the service, though the territory rep didnt ever seem to be around much. I love and use every feature.
    We do need competition and I hope some comes along.
    But I thank the person who posted the story about over-eager MM.
    Animas seemed a bit eager with me too, because I told them if they continue to carry Cozmo cartridges, I will buy from them. In fairness to Animas, they did have excellent service when I owned two of their pumps.
    I think holding out for my remaining two years, will be safe and maybe prove profitable if something new comes along.

  38. MelissaBL
    MelissaBL April 25, 2009 at 11:52 am | | Reply

    I, too, got a call from Minimed. I just told them, “keep me on your mailing list because I’d love to see what you guys come up with in the future.” I just don’t get a vibe from them that updating the product is that important. As one MM pump rep I recently met said “Why would you need a food database in your pump when you can just carry the calorie king book?” Do I really need to answer that?

    I, too, am going to miss having another company out there to push MM to raise the bar. It’s time they added the features like waterproofing, carb databases, and customization we find in the other pumps. I’m not a MM hater. They served me well for my first 8 years of pumping. I had a few customer service issues, etc., but nothing that would necessarily keep me from going back to them. It’s just their product that I feel hasn’t kept up with what else is out there. I liked cassette tapes, too, but when CDs came out, I made the switch.

  39. Joop
    Joop May 6, 2009 at 7:43 am | | Reply

    Jacey has it right, under the Obama brownshirts, you can kiss it all goodbye. I’ve lived in the Netherlands, UK, Australia, Singapore and the USA. We recently made a decision to renounce our US citizenship and are moving to our home in Tasmania, Australia keeping our Dutch citizenship and now will add Aussie.

    Those of you pardoning the actions of this group of idiots under Obama dont’ appear to have a global view of healthcare. I invite you to live in the UK for two years and see how much you will like America’s future. It’s “Back to the Future” under Obama – 1930′s medicine practiced because the Messiah knows better than all of you.

    I have to laugh, the reCaptcha phrases for this post are “coverup sorcery” Yep, that sums up the dirty business in DC under Obama.

  40. davidbaer
    davidbaer December 21, 2009 at 11:25 pm | | Reply

    Experts have talked about this before. How many times have you read about the importance of ‘adding value’ for your audience? How many times have you read about ‘building trust’ with your readers/prospects?
    Many, many times. You know it well. Every marketing guru has spoken about this topic. I’m sick of hearing it. But it STILL bears repeating.

  41. Charles brooks
    Charles brooks December 28, 2009 at 10:45 pm | | Reply

    Everyone has their favorite way of using the internet. Many of us search to find what we want, click in to a specific website, read what’s available and click out. That’s not necessarily a bad thing because it’s efficient. We learn to tune out things we don’t need and go straight for what’s essential.

    latest trend

  42. davidbaer
    davidbaer January 8, 2010 at 4:00 am | | Reply

    Experts have talked about this before. How many times have you read about the importance of ‘adding value’ for your audience? How many times have you read about ‘building trust’ with your readers/prospects?
    Many, many times. You know it well. Every marketing guru has spoken about this topic. I’m sick of hearing it. But it STILL bears repeating.

    http://www.onlineuniversalwork.com

  43. affiliate
    affiliate February 25, 2010 at 12:23 am | | Reply

    feel confident they will be around to provide support.

  44. H Strasser
    H Strasser April 11, 2011 at 9:29 pm | | Reply

    My teenage son and I, both Type 1′s have been using the most EXCELLENT Cozmo insulin pumps since early 2006. We LOVE the Cozmo, the very easy to use interface, the built in FreeStyle test meter (wuhoo!), the water resistant pump (yes – the blood meter NOT water resistant), the fact that it would “auto fill” the bolus amount, it holds 300 units (instead of the mere 200 that Ping holds), etc… Did I mention that we LOVE the COZMO!!!!?

    Fast forward 5 years here to 2011 and we are ready to replace, unfortunately, no more Cozmo so we both switched to Animas Ping since it shares the stockpile of CLEO infusion sets (WHICH WE ABSOLUTELY LOVE).

    The Ping’s user interface requires many more up/down arrow adjustments making it take MUCH longer to enter blood tests (I refuse to use the crappy One-Touch strips; prefering to stay with FreeStyle strips).

    I REALLY MISS my Cozmo pump. Animas (and Medtronic) can bite me!

  45. My First Half-Marathon with Type 1 Diabetes

    [...] he uses a Deltec Cozmo insulin pump, a DexCom CGM, and an awesome dose of persistence and determination in his life with this disease. [...]

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