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I did a quick search, and it seems that the full price of generic version of this inhaler in Germany costs between 30 and 40 euros. With a prescription is either 5 euros or free depending on why it was prescribed.
The problem of the US healthcare is much deeper than just the insurance companies. Every single layer of the system is rotten.
I wouldn’t use the word “rotten” in this case. The capitalist system designed by the burgeoise is working perfectly, the question that remains is: Working for whom? Well, the answer we all already know (except the ancaps)