> is there a simple explanation for why it's easier to allow importation from Canada than to lower domestic prices in the US? There is no simple answer to your

> is there a simple explanation for why it's easier to allow importation from Canada than to lower domestic prices in the US? There is no simple answer to your question. Here are a few issues: 1. It is fundamentally difficult to price a good with a high fixed cost and a low variable cost. International pricing is even more difficult. 2. Different countries have different regulations around the manufacture and sale of drugs, which can add to the cost to manufacture and distribute in those countries. 3. Many countries with socialized medicine use their monopsony position to negotiate good/better prices for drugs. Sometimes this involves credible threats to ignore patents. 4. Fake drugs are a thing and are a real, serious problem. My understanding is that drugs that pass through Canada (and possibly other places) do no go through the same verification processes that drugs for internal consumption do.