> Yep, you read that right, $14,000 There's a lot wrong with US healthcare, but IMO a sticker price of $14,000 is actually a signal of a different problem, whi

> Yep, you read that right, $14,000 There's a lot wrong with US healthcare, but IMO a sticker price of $14,000 is actually a signal of a different problem, which is... that the prices are fake. Nobody is actually expecting individuals to pay $14,000/mo. In the circumstance that an uninsured individual is on the drug, they'll be put on a payment plan which works out to an income-based-repayment: they know they won't get half a million from the patient, they'll get what (they think) the patient can afford. For insured patients (realistically, almost everyone who could have afforded such a high sticker, because of employer-based healthcare) the sticker price is meaningless, because there's a negotiated rate between the insurance company and the provider. Likely negotiated inefficiently with each individual insurer, but the end money transfer a small fraction of $14,000. I'm not trying to argue that there's not a ton of waste here. It's dumb and the lack of price visibility means nobody at any level makes informed choices. But the $14,000 price shouldn't be viewed as a real price in any meaningful sense.