re: The great generic drug rip off

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I'm not saying don't do this, but don't do this.

The savings realized after paying a middle man importer will end up at 10-15% even on those products and that will disappear over time.

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Hilliary Clinton noted that if NY pharmacies could simply send a driver across the boarder into Canada and buy drugs at retail from Canadian Pharmacies, they would save significantly over wholesale US costs. Currently such international purchase is against the law. Sen. Clinton proposed the law be changed. Big Pharma shut the effort down.

In a day and age of the internet, worldwide purchase outlets, international shipping, etc., I have no idea what you are referring to when you discuss "middle man importers ending up with 10-15%." The "middle man" would be UPS/FedEx.

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The real issue is AWP and how Medicare and Medicaid reimburse. And of course, the back issue is the fact that the federal government is such a huge percentage of the market and consequently, the entire pay scheme is derived from bilking as much money as possible from it.

Here's an overview and some of the changes upcoming:

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You need to clarify what it is you think you're addressing here. What you seem to be asserting is bizarre.