Yup.  Those other countries you cite have lower cost of care because WE SUBSIDIZE them.  A drug that costs $1000 here and $100 in France, has an average revenue per pill between the two of $600.  That's how the drug companies look at this.  If we were the same as France, the pill would not exist.  75% of all drugs are invented here, with our drug dollars.  Over 80% of new medical procedures are invented here, with our health care dollars.  Its time for France, Germany, Britain, Canada, etc. to pay their fair share.  No reason these 'industrialized' countries should have subsidizations from Americans!