> Students in the US are already comfortable paying enormous amount of money for the education, students in Europe much less so and students in India and Pakist

> Students in the US are already comfortable paying enormous amount of money for the education, students in Europe much less so and students in India and Pakistan simply can't afford to pay what US students can. Yes, exactly. Substitute "people" for "students" and "health care" for "education" and you have also explained the price differences in the cost of drugs.