In other words , 2 nd Christmas . <| sep |> Yep costs about tree fiddy <| sep |> Those patents derived are also good in Europe . It ' s not like Europe is some land devoid of IP protection . I think it might be reasonable to say that we subsidize India and China who just don ' t give a shit and start manufacturing generics immediately but it ' s not like Europe isn ' t a major player in the Pharma game Bayer , Novartis , AZ , GSK just as a few examples . The biggest issue is that Medicare is prohibited by law from negotiating prices which is basically as antimarket as it gets . Those prices are also generally the floor of the US domestic market because medicare is such a huge buyer so they basically get to set their own market prices at whatever they want it to be which is ridiculous , but it ' s not the companies ' fault . I mean , if you tell a private organization that they can get more money just by asking , it ' s logical that they would say yes .