> But if their revenue levels in the U.S. were at the level they are in Europe, they absolutely could not justify their enormous fixed costs.

Maybe the public could help them substantially lower the costs by not allowing to advertise prescription drugs to laypeople?

Agree with the GP. There is some massive Stockholm syndrome going on here.

Some countries have well-functioning health care systems since the 18XX, not just since the feel-good story of "Murica is subsidizing other countries because we are such a great nation" became a thing.

Working health care is not rocket science, but it looks like everything that doesn't fit the American narrative of exceptionalism is conveniently ignored these days.