In civilized countries at least.

In brazil 36 reais (about 6 euro). The US is a joke. (And im 99% sure you can also get it for free if you use the public health network)

To be fair, the killing isn't the point; they're the product. Its just that profit is God, so killing in its name is justified.

Killing poors for the joy of it? That's just an evil bonus.

Free Luigi.

A lot of us would need financial sponsorship. So there'd be a literal financial drain on those economies.

I still would like to sign up.

Making an AI meme of Luigi as a Saint is one thing.

Making a painting and having it casually displayed in your room is a whole other level.

Also, I can't believe it's already been a year.

Seems like something other states should get in on. Now that the program is established seems like it would not be as hard to pay into it and get a share of the product.

Something I've noticed is when untraveled people in the USA try to contextualize themselves with other countries they pick the worst examples they can think of. Favelas in Brazil or slums in South Africa for example. We do this to the point where our entire conception of countries (or in the case of Africa, continents) is the worst imagery we can think of. I think they genuinely don't believe that, for all their troubles India, Brazil, Mexico, Nigeria, etc also have smartphones and big buildings and libraries and universities and laboratories, and educated people living decent lives.

They also can't see how the overcrowded jails full of pretrial prisoners, the barefoot children carrying buckets for water in Appalachia, the rundown schools full of illiterate kids, the impunity of rich private interests, the corrupt sheriffs and judges, and on and on, puts us in the company of the "third world countries". Yes we have nice places too, but SO DO THEY. A broken society in the 21st century isn't people living in mud huts, it's children shitting in the street next to a glass skyscraper with LEED Platinum certification.

Logically, it's not about how much money you make, it's about purchasing power. It is irrelevant if you earn only $400 a month when you can eat well for $1 and pay $100 for your housing, you have free health care and education. That is the reality in some third world countries.

the problem is that there is natural (as in, unmodified) cheap generic insulin available, it's just that it sucks compared to everything else. you see, insulin is a peptide that is supposed to appear, do some signalling, then disappear and unmodified insulin copies this thing exactly. the problem is, most of the time when peptide is supposed to work as a pharmaceutical, you don't want to do that, you'd like insulin to last longer than usual, which means changes to it that make breakdown slower, or adding something that makes it stick to albumin, which has similar effect because it hides insulin somewhere enzymes can't reach it and also it makes it start acting slower. this means less frequent dosing and less changes in insulin activity over time. there are also other insulins that start acting faster than natural, and this is also due to a couple of modifications in its structure

for another example, ozempic was not the first drug in its class, it's also a modified peptide, and it can be injected s.c. once a week, compared to previous iteration (liraglutide) that requires daily injections. if natural peptide is injected i.m. instead, its halflife is half an hour, and in serum it's only two minutes (it gets released a bit slower than it is metabolized)

manufacturing costs are about the same for any variant, most of it is in purification. patents for a couple of these have expired anyway by now, but if manufacturing is limited then price can be set arbitrarily high (see daraprim)

Correct, but when it's already been established that people will pay those prices, they keep them high. So instead of going from $800 to $5 out of the goodness of their hearts, they go from $800 to $650 (number made up) to get more business but still make massive profits.

IIRC the insulin being sold now is manufactured differently and the patents are completely different anyway

But overall your point is good

If you need a lot of different prescribed drugs then £114.50/year to cover every prescription you have is an option here. Otherwise £9.90 each.