My brother-in-law, who is now deceased, was an Oncologist in a specialty group here in S.E. Michigan.
He was responsible for purchasing all the chemo therapy drugs he used in his practice. In his last couple of years, he had to drop out of the private practice and become a staff oncologist for the hospital group they worked out of.
The reason he had to drop out was because medicare and medicaid, which many of his patients were insured with, would not reimburse him for the total costs to him for the therapy drugs he had to administer.
Ironically enough, the same drugs could have been purchased thru a Canadian distributor at a fraction of the cost........
bttt
We, the US taxpayer, have been Big Pharma’s bitch for waaaaay too long!...........