Albuterol is a 60 year old med.

and 1 inhaler cost $60 cash

but the company that makes that inhaler also r&d's other drugs

In ambulance stations, certain meds are billed for more because they're rarely used and their shelf life is shorter. An albuterol inhaler is not 60 in cash.

tell that to my pharmacy

how much then?

It costs around 3 dollars to manufacture.

Maybe another dollar to ship.

okay, we talking different things with "cost"

As far as the end user sale...

it costs __me__ $60

at walmart pharmacy

It costs less than a dollar to make, and they charge 60$ to cover the loss incurred during r&d, if you have insurance than they would get charged that cost and then charge you a copay

I went for a Ventolin inhaler last week. 200 USD.

yes, the copay on a albuteral inhaler is $30(ish)

...but you came in during us discussing a pretty broad topic. ER/Hospital/Private Practice vs Pharma vs EMS.

So?

Read the name

yes, i just chimed in about the pharma issue

Yeah it seems like a pretty multi-faceted topic.

I'm barely keeping up googling stuff and following the chat.

It's fucking interesting stuff though

I meant Epic. He was saying that I was incorrect about cost involving EMS. I was explaining why, in EMS, some meds cost more and how it's not the same as hospital care.

@Brokkr
"The reality is insurance isn't even necessary."

Indeed, @Brokkr, if the free-market prevailing cost was what we were paying, and the road to this is lifting the geographical barriers to entry for health-insurance firms, the rest follows.

i said absolutely nothing about ems. i was very specificaly responding to the pharma issue

One moment, EBM, do you mind if I call you that?

u can call me pretty much anything u want, as long as i can recognize it

It is rather shocking, isn't it? @nimble_newt

because the pharma issue is one that has the most international considerations

yeah @Jeremy is there a book I can read to brush on the topic.
Maybe my childish and somewhat naive desire to help people could use some reconsideration.
I find the whole thing interesting though.

I used up emotes on my posts to show you where the segway was.

EBM, Brokkr was referencing the production cost.

Yeah. It's a boatload of separate issues all shoved into one box.

Just come over to LouderWithCrowder's Discord, and read what Brokkr and I have written on the subject.

Pharma has its issues. Hospital/Private has its issues. EMS has its issues.

....and of course none of this is even addressing medical equipment. Just drugs.

"production costs" is rather misleading.
but i'll admit that i'm not following this as closely as i could; so i should jsut stfu

Not saying that. Just trying to catch you up.

("this", meaning the present convo)

nah, i got shit to do anyway

Well, it was not my intention to imply, infer or otherwise make you believe I felt you should not have input.