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But then, doesn't that mean everyone with coverage pays for it?Insurance pays for it, and everyone with coverage pays for these high costs through high premiums -- public healthcare in Canada doesn't pay for drugs, and even without insurance the cost of those drugs tends to be substantially cheaper, at least in the few scenarios I've been exposed to.

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Insurance doesn't pay $1400 either.

I mean 225,000 Americans are on it, and multiply that by 1400 x 12, and you're already way past Truvada's global annual revenue. The numbers don't work out.

Americans do subsidize European and African prices though, there's no doubt about that.

More likely it means you pay (or more appropriately, your insurance company pays) the negotiated rate, which is often far, far less than the published retail cost of a medication.

Those big monthly $$s get investors excited tho.

This is to say nothing of the public / private debate.

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