"There are currently about 1,000 cases of people who suffer from hereditary degeneration of the retina, and 10 to 20 new cases are expected to be added each year."
so it would be better for orzempic to cost $850,000 and limit its indication to people with MODY?
How is that realistic?
TBH I have way less a problem with pharma industry being allowed to make profits than health insurance companies. In fact the US is about the only country in the world that allows profits from health insurance.
I don't see health insurance making profit being unreasonable. That is key reason why anyone would run an insurance scheme. Now the USA model is entirely wrong. But fundamentally, to offer insurance you must get something out of it.
every other country only allows them to exist as not-for-profits.
whereas expensive medicines just make health insurance less profitable.
This is the basic principle behind why the US spends the most in the world on healthcare to achieve among the worst outcomes (e.g. same life expectancy as most undeveloped 3rd world countries)
https://www.ndtv.com/world-news/at-850-000-drug-to-treat-bli...
can be made for .1c
heck, a top of the line AMD server chip costing $10,000 only contains a few milligrams of plastic copper gold and sand.