And because the US is a giant single market with a lot of money, less worldwide meaning drugs take longer to test and bring to market

April 11, 2026 - 13:56 UTC

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Yes this is the big issue, very high prices in the US make a lot of developments quickly profitable which would otherwise be only a long-term commercial proposition, and we know how good capital is at thinking long-term lately.
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When the US didn’t take the Lyme disease vaccine roughly a decade ago it never came into the market because that changed the economics so much (my cousin in law is suffering because of that right now)
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