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Okay, then expect expensive drugs for decades when it costs billions in R and D and the drug companies need to recoup the costs (in addition to the red-tape involved in releasing the drugs).

Many countries with cheap drugs never had to pay all of the research and development costs.

If it's not government greed, it's government ineptness and the inability to understand how the market actually works.

The generic company in this article, for instance, never had to pay any R&D costs for the proprietary epipen applicator and can easily charge a much lower amount of money for a generic version (which is different).

The high cost of FDA approval also creates monopolies, because it's very difficult to get anything to market. To get better and cheaper drugs, we need to change this at the government level.