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A guy bought a tube of prescription cream for C$35 in Canada. A few months later he bought one in California for US$95 (copay), his insurance company was charged over US$2000 by the drug company. How could this possibly be justified and it is no wonder the insurance rates are so high?

I've never understood why that happens either. Everyone talks about bringing down healthcare costs but misses some obvious/easy solutions. One, let people buy insurance across state lines (more competition is always good). Two, ditto with prescription drugs. Except it would have to be at the international level*.

IMHO, the biggest change, put patient responsibility into the equation. Right now, no matter the system, there is none. I would do that via HSA accounts. Does it solve all the problems? No.

JLC

* I wouldn't have problems buying drugs made in Canada but would be a little leery of drugs made in China or India.
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