It's not unusual for us customers to pay a higher premium for the same service that is sold at a lesser costs around the world. This is for a great many things. This can be due to companies actively using their us customers to subsidize their market share and other places but I don't imagine that's what's at play here. It could be that the government in the Netherlands is offering some sort of subsidy that is allowing the price to be less. Also could be that local competition is necessitating a lower price as well in that area.
Often, identical medicine is sold in the US for 5-20x the price that it is sold for in even North-West EU.
If US customers as a whole really couldn’t pay this, the price would drop.
And you're up there's two things at play the government is subsidizing the cost of drugs but also demanding a lower price. If you're up was the only market or the primary market at the prices they're demanding there would be no more research and development for a great many of the drugs that we have.
Relative to what? It's not marketed at population centers. My 10Mbps DSL was 90/mo, bonded I could get 25M down 1.5 up for $140/mo.
I live in the country a good 6 miles from any City and that City is maybe 8000 people. My service is $99 a month for 1 gig fiber. The only other options I would have is some satellite-based internet or a cell based internet.
If Starlink achieves reasonable service, for many customers in the US it can get away with charging a lot.
I now pay €67.50 for 4gbps up / 4gpbs down. I'm actually getting those speeds and the day I arrived service was already turned on. I just had to ride my bike down to the post office and retrieve my modem.