[ExI] Why is “cost of living” such a big problem?

[John Clark]

On Fri, Nov 6, 2026 at 11:18 AM <spike at rainier66.com> wrote:

*> If you consider a drug too expensive, don’t buy it.*


*Great choice you have given us, don't buy the drug and die rich, or buy it
and live in poverty. Spike, why do you insist on never changing, on always
doing things the same way we have always been doing things even when it's
obviously stupid and is killing thousands of American citizens each year? *

*> A lot of research is done in the USA*


*And a lot of research is done elsewhere, research into Wegovy for example
as I pointed out in my previous post was done in Denmark. So what lame
excuse have you managed to dream of to explain the huge discrepancy in the
cost of Wegovy in the two countries when neither country had anything to do
with the research, development, or manufacture of Wegovy? *

*> Drugs are controlled tightly in the USA.*


*Yes, and a libertarian would say drugs are far FAR  too tightly controlled
in the USA. So Spike I ask you yet again, are you a libertarian? *

*John K Clark*








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> On Thu, Nov 5, 2026 at 5:43 PM spike jones via extropy-chat <
> extropy-chat at lists.extropy.org> wrote:
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> *> **Medicine does cost a lot more in the USA, *
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> *Yes, a LOT more.*
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> *> **for reasons we already established:*
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> *No, you have never done that.  *
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>  *> **the cost of the research and qualification must be paid back.  *
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> *>…But you have never coherently explained why US citizens and US
> citizens ALONE must pay for the ENTIRE research and development costs of
> every drug in existence, even though they are only 4% of the world's
> population. And even if the US had nothing to do with the R&D or
> manufacturer of the drug! *
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