This is a continuation of a discussion we were having on Discord but it was getting too messy with multiple people's input and issues with keeping a discussion going live so we're moving it to Diplo: Here is where we left off: I mentioned to Cniper earlier that 5000-6000 Americans a year, out of 300m+ are afflicted with the illness which is cured by the drug whos price is extremely high. In any other country, these people would be relegated to die. But, because there are no price controls on drugs in the US, they have a chance to live, although it comes at a hefty cost due to the rarity of the illness. The more prevalent an illness is, the cheaper the cost will be to cure. Rarer diseases are more expensive because the cost is shouldered by a small segment of the population. Is this a good system? On its face, no. But these are drugs that would've never been developed anyway. These people are being given a chance at life when they would've otherwise most likely been sent to a hospice instead. And thats the point here. Its easy to point and scream about high drug prices and the cost of the RND associated with it when you don't pay for it. Drug companies want to sell their drugs across the globe, and you are correct in your assessment in that those governments don't allow them to overcharge, so they sell anyway, but that cost comes back to the American population anyway. The RND has to be paid for so companies can profit. If they don't profit the drug isn't worth their time, and people die. People already die due to illnesses that are incurable, and cures can be found. But they will require expensive RND, time and effort to cure. You are all advocating for a system that would relegate thousands to early graves simply because you cannot realize that drug creation is expensive. And it wouldn't even be bad if you advocated for systems of governance which made RND cheaper, or created more competition so new drugs can come to market and drugs to become cheaper. Like a mentioned to Mass a few minutes ago, you will be happy when we are all equal, even if we are equal in death. I know that this isn't what you explicitly want but this is the result of a system based on what you advocate.