[comex]

Private insurance, unless you're on Medicare.

[maxerickson]

Medicaid may cover it and the company is providing it at no charge to people that are uninsured and meet some other requirements (http://web.alsa.org/site/PageNavigator/alsa_radicava_faq.htm... )

[afarrell]

How much paperwork does it take to prove you meet those requirements and what is the cognitive/time cost of that paperwork?

Gentoo is free-as-in-speech, but way way too expensive for most people. Given that the US healthcare system is bewildering even to middle-class people who have relatives that work in healthcare, the cognitive costs of something like this might be considerable.

[maxerickson]

So what's your point?

I was speaking to there being other potential mechanisms to obtain the drug, not glorifying the US health system.

[afarrell]

To tell the person asking "How does this works in the US?" That even if there theoretically are means to obtain the drug for the uninsured, it might be practically out-of-reach.