[allenm1]

Comparing the prices in the US with those outside is wrong way to look at this, but it feeds the populist narrative. That discrepancy has nothing to do with Pharma but everything to do with the fact that in other countries the only payer is government and to be on the government formulary, Pharma companies have no choice but to accept those prices. If US did the same thing, many drugs would not be economically viable. In the most fundamental sense, for example Canadians aren't paying their fair share, and Americans are picking up the slack. I work in the industry and I am not blind to the issues the industry has but it always baffles me how simplistic the conversation becomes when the subject comes up.

[Beldin]

The discussion becomes simplistic because the moral wrongs are so blatant. See eg the cost of insulin (source from 2018): https://www.visualcapitalist.com/cost-of-insulin-by-country/

USA: 99$

Next most expensive country on that list: 21$

ETA: This is not intended to start a discussion about the price of insulin. The point is that a life-saving drug costs about 9-10x more in the USA than in countries with similar living standards, eg. countries in Europe.

[allenm1]

I think you missed my point. Is going out of business and not being in position to provide drugs at all simply because you don't want drug price disparity between USA and countries that arm-twisted you into paying a lot less then what they should because they know you are going to make up the difference in the US market morally superior to what we have now?