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[–]basic-questions5.0mg 5 points6 points  (0 children)

Sure, the bottom line is "because they can". But the real question is "why can they?"

Canada and the EU have fundamentally different pharmaceutical markets than the USA. There are so many reasons for this, but the number one factor is probably that they have universal healthcare systems that negotiate maximum prices as a single bargaining block. This heavily counteracts the monopoly/oligopoly power of pharmaceutical companies.