DENVER — D.j. Mattern had her Type 1 diabetes under control until COVID-19’s economic upheaval cost her husband his hotel maintenance job and their health coverage. The 42-year-old Denver woman suddenly faced insulin’s exorbitant list price — anywhere from $125 to $450 per vial — just as their household income shrank.

She scrounged extra insulin from friends, and her doctor gave her a couple of samples. But, as she rationed her supplies, her blood sugar rose so high that her glucose monitor couldn’t even register a number. In June, she was hospitalized.

“My blood was too acidic. My system was shutting down. My digestive tract was paralyzed,” Mattern said, after three weeks in the hospital. “I was almost near death.”

So she turned to a growing underground network of people with diabetes who share extra insulin when they have it, free of charge. It wasn’t supposed to be this way, many thought, after Colorado last year became the first of 12 states — including Illinois — to put a cap on the co-payments that some insurers can charge consumers for insulin.

But, as the coronavirus pandemic has caused people to lose their jobs and health insurance, demand for insulin sharing has skyrocketed. Many who once had good insurance are now realizing the $100 cap for a 30-day supply is just a partial solution, applying only to state-regulated health plans.

It does nothing for the majority of people with employer-sponsored plans or those without insurance coverage. According to the Colorado chapter of Type 1 International, an insulin access advocacy group, only 3% of patients with Type 1 diabetes under 65 could benefit from the cap.

Such laws, often backed by pharmaceutical companies, give the impression things are improving, said Colorado chapter leader Martha Bierut. “But the reality is we have a

TOKYO — Three cities — Tokyo, Osaka and Fukuoka — will compete to become Japan’s next international financial center under a plan developed by Prime Minister Yoshihide Suga.

Japan “can expect a market revitalization by attracting financial personnel from overseas,” Suga told Nikkei and other media outlets in early October.

The plan is to attract highly skilled workers from around the world through tax perks and special residency rules that will apply to the entire country. But the city that can demonstrate steady achievement will receive focused government support in its development as a financial hub.

“Of course I expect Tokyo to develop [as a center],” said Suga, who also spoke of plans to “create an environment where financial functions can be improved” throughout Japan — raising the possibility that a hub could be in another city.

Tokyo has previously served as the city of choice for government-led initiatives to form a financial hub, given the heavy concentration of headquarters and branches of financial groups. The Japanese capital offers special visas to select foreign arrivals, for example.

Despite this, the city has lagged. The latest Global Financial Centers Index, published in September, ranked New York, London and Shanghai as the top three. Tokyo slipped one place to fourth. Critics have said high tax rates and language barriers are among the reasons for the city’s relatively poor performance.

Suga pledged to “quickly address matters including taxation, residency requirements and administrative support in English.”

Details for the plan will be hammered out quickly. Tax legislation for fiscal 2021 is expected to feature lower income and inheritance tax rates for highly skilled overseas professionals, as well as cuts for foreign enterprises. Expanded budgetary provisions for accommodating English speakers will also be on the table, along with residency extensions.

Japan sees an opportunity to