Some other interesting questions... why is no one else seem to be curious about all these things that absolutely should change?
Prescription drug prices are so high in the U.S. primarily because of a system that allows pharmaceutical manufacturers to charge Americans significantly more than people in other developed countries for the same drugs. This is partly because:
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The U.S. government often does not directly negotiate drug prices for Medicare, unlike many other countries which have price negotiations or caps.
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Pharmaceutical companies provide deep discounts to foreign markets to gain access but make up for those lower prices by charging Americans much higher prices, effectively subsidizing global drug access through U.S. consumers.
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Americans fund about 75% of global pharmaceutical profits despite the U.S. being less than 5% of the world’s population, driven by high prices and generous research subsidies primarily from the U.S. government.
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Complex distribution chains, including middlemen and pharmacy benefit managers, add layers that increase final drug prices.
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Patent protections, market exclusivity, and limited generic competition allow manufacturers to maintain high prices.
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Recent executive orders and legislation aim to reduce prices by enabling Medicare to negotiate drug costs, set price caps, and promote price transparency, but high prices persist while reforms are still being implemented.
Overall, Americans pay on average nearly three times more for brand-name drugs than citizens of other developed nations, a pricing imbalance sustained by a combination of market dynamics, policy choices, and international price discrimination by pharmaceutical companies.whitehouse+5
- https://www.whitehouse.gov/fact-sheets/2025/07/fact-sheet-president-donald-j-trump-announces-actions-to-get-americans-the-best-prices-in-the-world-for-prescription-drugs/
- https://www.morganlewis.com/blogs/asprescribed/2025/04/drug-pricing-and-access-in-2025-issues-to-watch-and-developing-strategies
- https://www.cms.gov/newsroom/press-releases/hhs-announces-cost-savings-64-prescription-drugs-thanks-medicare-prescription-drug-inflation-rebate
- https://med.stanford.edu/medicine/news/current-news/standard-news/policy-options-white-paper.html
- https://bidenwhitehouse.archives.gov/briefing-room/statements-releases/2024/08/15/fact-sheet-biden-harris-administration-announces-new-lower-prices-for-first-ten-drugs-selected-for-medicare-price-negotiation-to-lower-costs-for-millions-of-americans/
- https://pubmed.ncbi.nlm.nih.gov/40263109/
- https://www.whitehouse.gov/presidential-actions/2025/05/delivering-most-favored-nation-prescription-drug-pricing-to-american-patients/
- https://publichealth.jhu.edu/2025/tariffs-and-us-drug-prices
- https://www.americanprogress.org/article/project-2025-prescription-drug-plan-would-increase-costs-for-as-many-as-18-5-million-seniors-and-others-with-medicare/
- https://healthjournalism.org/blog/2025/01/clearing-up-confusion-on-drug-price-rules-and-revisions/
The U.S. exercises a relatively rigorous but evolving oversight on harmful food additives compared to other countries. The Food and Drug Administration (FDA) regulates food additives through premarket review, determining which substances are "generally recognized as safe" (GRAS), a process under increasing scrutiny and reform as of 2025.
Recently, the U.S. Department of Health and Human Services (HHS) and FDA announced plans to phase out the use of several petroleum-based synthetic food dyes by the end of 2026. This includes dyes like Red 40, Yellow 5, Blue 1, and others, aiming to replace them with natural alternatives due to growing concerns about health risks, including links to childhood diseases.
Additionally, many U.S. states have enacted or proposed bans on various synthetic food additives beyond federal regulation, such as certain preservatives or dyes, with some requiring warning labels on products containing these additives.
Compared to other countries, the U.S. is actively updating its regulatory framework, introducing measures for more frequent safety reviews of additives, and is generally considered to have stricter additive regulations than many developing countries. However, some countries, particularly in the European Union, may have different or even more precautionary bans and restrictions on certain additives.
In summary, the U.S. oversight on harmful food additives is robust and is currently tightening, especially around synthetic dyes, with a mix of federal and state actions reflecting growing health concerns. This places the U.S. among countries with relatively high regulatory controls, but with ongoing reforms seeking further strengthening.hklaw+6
- https://www.hklaw.com/en/insights/publications/2025/04/hhs-announces-actions-to-phase-out-use-of-food-additives
- https://chlpi.org/news-and-events/news-and-commentary/food-law-and-policy/maha-and-blue-states-get-behind-food-additive-bills-in-state-legislatures/
- https://nationalaglawcenter.org/food-law-in-the-states-2025-update/
- https://www.ropesgray.com/en/insights/alerts/2025/05/food-policy-update-fdas-focus-on-regulating-whats-in-our-food
- https://civileats.com/2025/07/14/democrats-reintroduce-bill-to-increase-regulation-of-food-additives/
- https://flavorsum.com/food-and-beverage-regulatory-news/
- https://www.fda.gov/news-events/press-announcements/hhs-fda-phase-out-petroleum-based-synthetic-dyes-nations-food-supply
- https://www.fda.gov/food/food-additives-petitions/food-additive-status-list
The countries with the least restrictions on food products tend to score lower on food safety and quality indexes, implying less stringent regulations. According to recent data from the Economist Impact Global Food Security Index (GFSI) and related sources, countries with highly developed and strict food safety regulations include Finland, Ireland, Norway, France, and the Netherlands. Conversely, many lower-ranked countries in terms of food safety have comparatively fewer food-related restrictions.
However, pinpointing exactly the "least restrictive" country is challenging because less regulation often correlates with less developed food safety infrastructure and enforcement. Some lower-income or developing countries tend to have fewer formal food safety laws or less stringent enforcement due to economic constraints or infrastructure limitations.
In general, countries in Sub-Saharan Africa, parts of Southeast Asia, and some Middle Eastern or Central Asian countries tend to have fewer formal food safety restrictions compared to highly industrialized nations. It is important to note that this does not necessarily mean food is less safe universally, but regulatory oversight and standards may be less comprehensive or rigorously applied.fooddocs+2
- https://www.fooddocs.com/post/food-safety-standards
- https://worldpopulationreview.com/country-rankings/food-self-sufficiency-rate-by-country
- https://en.wikipedia.org/wiki/Global_Food_Security_Index
- https://impact.economist.com/sustainability/project/food-security-index/
- https://food.chemlinked.com/news/food-news/global-food-regulation-highlights-may-2025
- https://protocolfoods.com/blog/how-food-safety-compliance-differs-between-the-u-s-eu-and-asia
- https://agtech.folio3.com/blogs/detailed-guide-to-food-safety-standards/
- https://timesofindia.indiatimes.com/life-style/food-news/unesco-highlights-4-countries-that-have-no-food-standards-in-schools/articleshow/120521445.cms
- https://www.tilleydistribution.com/insights/food-regulations-in-europe-vs-the-us/
- https://www.cremeglobal.com/the-12-evolving-global-factors-affecting-food-safety/
Food producers make products different for other countries mainly to cater to local tastes, cultural preferences, regulations, and market conditions.
Adaptation to Local Preferences and Culture
Food producers modify products to harmonize with local tastes, dietary habits, and cultural norms. For example, fast-food chains like McDonald's and Domino's change menu items to reflect regional flavors and dietary restrictions, such as offering chicken instead of beef in places where cows are sacred or introducing local specialties like curry or seafood toppings in certain countries. This helps products appeal more directly to customers' expectations and preferences in each market.ux247youtube
Regulatory and Safety Compliance
Different countries have varying food safety regulations, standards, and allowable ingredients which necessitate product changes to comply with local laws. Some countries may ban certain food additives or require specific levels of hygiene and processing standards. This can influence how ingredients are sourced or the formulation of products to meet legal requirements.ers.usda+1
Economic and Market Conditions
Manufacturers may alter ingredient quality, packaging, or sizing to match the economic realities and purchasing power of consumers in different countries. For instance, products in lower-income countries might have fewer features or simpler packaging to keep prices affordable while maintaining profitability. Adjusting pricing strategies accordingly is also common.reddit+1
Strategic Marketing and Brand Positioning
Food products may undergo intangible adaptations like changes in branding, advertising messaging, or packaging design to better resonate with local consumers or to navigate cultural sensitivities. Promotional efforts are tailored to local customs, holidays, and popular media channels to maximize acceptance.youtubeux247
In essence, food producers differentiate products by country to ensure they meet legal standards, satisfy consumer tastes and cultural norms, and succeed economically in diverse markets.ux247+1youtube
- https://ux247.com/product-adaptation-in-foreign-markets-with-examples/
- http://www.ers.usda.gov/amber-waves/2003/november/food-safety-and-trade-regulations-risks-and-reconciliation
- https://www.youtube.com/watch?v=h5Iu952eGEE
- https://www.sciencedirect.com/science/article/pii/S0306919220302268
- https://www.reddit.com/r/NoStupidQuestions/comments/mrl7ay/why_do_companies_often_alter_the_ingredients_of/
- https://www.sciencedirect.com/science/article/pii/S030691922300101X
- https://www.foodnavigator.com/Article/2018/01/08/Dual-Quality-food-Are-different-recipes-for-different-markets-legal/
- https://www.ncbi.nlm.nih.gov/books/NBK114491/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC8306766/
- https://www.youtube.com/watch?v=CSxpy68rS6o

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