The US pays much more for drugs than any other country. I guess one possibility is that no one has any leverage and big pharma is able to charge Americans more because they're richer. But the more popular theory is that countries can negotiate better prices than individuals can (yes, technically insurance companies can negotiate prices, but they seem unmotivated to drive any costs down). It seems the previous administration thought the government can negotiate lower prices: https://www.cms.gov/inflation-reduction-act-and-medicare/med....