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With pharma I think the main "cost" involved is about the risk of investment. It takes billions of Dollars to potentially make billions of Dollars from a single product. More likely you invest hundreds of millions of Dollars with no return at all.

It takes a special kind of company, almost a bank, to stomach that kind of risk. And this extraordinary risk also demands extraordinary rewards.

Medical technology isn't really the same thing.

The assessment of pharma isn't true, and is evidenced by their high profit margins along with price difference between different markets - same exact thing is substantially cheaper in the EU than in the USA.

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