> Only in America and New Zealand are pharmaceuticals permitted to be marketed directly to consumers. Marketing does not only include direct-to-consumer adver

> Only in America and New Zealand are pharmaceuticals permitted to be marketed directly to consumers. Marketing does not only include direct-to-consumer advertising. > Does the rest of the world not innovate? Pharmaceuticals are a global market. As it turns out, European pharmaceutical companies make a disproportionate share of their revenues from pharmaceutical sales in the US. But to answer your question: statistically, no, the rest of the world doesn't innovate. Half of all pharmaceutical R&D costs in the entire world are funded by the US. That share has dropped slightly in recent years, but not because the "rest of the developed world" has been increasing their funding: it's because India and China have been rapidly expanding their R&D.