I doubt many people actually pay that much for their meds.

They'll go broke instead, eternally in debt, unable to save up enough or get a credit for, say, buying a house to save on horribly inflated rent prices, always living in fear of being fired and ending up homeless until they get arrested for not having a home to sleep in, sent to for-profit prisons at the expense of other taxpayers, possibly even put to work as a legal slave...

...but I can't imagine the pharma company does actually get all of those 60k on average. Maybe 20k-40k - hardly enough to pay their shareholders, let alone their insurance subsidiaries' employees for the soul-crushing job of listening to patients breaking down because the insurance won't cover their child's life-saving treatment for some reason rep, patient, doctor and executives all know is bullshit.