I think you're missing the fact that USA, as a very rich country, tends to subsidize drugs for everyone. Your cost is artificially lower as ours is artificially higher.
The only way to make it cheaper in the US is to make your pay more.
> The only way to make it cheaper in the US is to make your pay more.
I think this is very unimaginative to claim that the developer/manufacturer costs are fixed in stone and THE ONLY WAY is for customers to zero-sum it amongst themselves.
Most of the cost was in development/trials, the marginal cost of manufacture is probably in the single digits per month. With such an enormous market demand the development costs can be recouped faster and there is a possibility to lower the prices in the states as well.
Also 10x difference points to more systematic differences in the healthcare systems not just altruism of the US citizens.
Artificially lower, as in getting lower profit, not as in subsidised. If you're trying to say corps sell ozempic at a loss, that's a big (citation needed).
The only way to make it cheaper in the US is to make your pay more.