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This is what Shkreli has counted on you believing. The cost is NOT $20. The co-pay is. The amount paid by your insurer is well into the four digits.

Your insurer isn't an endowment, it isn't a charity. Notwithstanding a few percent ROI on investing premiums, the only person paying these four digits is you. Or your employer. It's just amortized and spread among a group.

"It's not that bad, it's really only $20" is the big trick here. A much higher amount is being billed, and paid, even after negotiation. It's not coming from a magic money fairy.



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