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Big Pharma’s big tax dodge

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There’s a mystery lurking in America’s national medicine cabinet.

Americans pay the highest prices in the world for lifesaving medicines — roughly triple what people in the world’s other big economies pay for the same name-brand, on-patent drugs. The cost of producing a medicine generally doesn’t vary much — so it stands to reason that the US’s big pharmaceutical companies should therefore earn far more in the US than they earn elsewhere. Simple math.

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