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My son is on Coumadin to keep his blood thin enough to work with the two artificial heart valves (mitral & aortic). He can't take generic warfarin. It screws up his PT and we end up sticking him with heparin injections for days to get his blood thin enough. It's more expensive, but it's the only thing that works right. Absent that choice, he would be room temperature.

R&D be damned? Fine. You'll sing a different tune when the doctor tells you there is not treatment for some particular problem in the future. The difference is you won't sing for very much longer. BTW, absent R&D, you wouldn't be using a computer to engage in this conversation. It is the product of R&D that has been refined to a level you can afford by mass production.

I am truly sorry for your son's condition..some generic’s don't work for everyone. My son also cannot take a generic statin. He needs the brand name. But that does not mean that the US should subsidize the cost of the same medications to other countries.. I am seventy and have told doctor many times that he better find a generic for what he wants me to have, or forget it...When I go to see him, he has his little computer and finds me a generic that will do the job...When you pay for your own prescriptions, you watch the cost..If there comes a time when there is no medication for what I have, so be it...
Like you I would feel different if I had small children that needed something..I am also a retired nurse, Heparin is an old medication and should not have a high cost. Sub-Q injections are done on diabetic children everyday. Heparin sub-Q helps your child, but it has been around for decades..I am glad for you. As I am glad for Insulin. Been around for decades also...Oh by the way, I could buy a box of 100 sub_Q needles (sterile of course) with syringe. for a couple of dollars for farm animals..what does it cost you? The cost is low because a farmer couldn't afford to take care of his animals if he had to pay the same price as you do for human consumption..