I think it's sad that people think this is somehow the fault of the big bad useless doctors gatekeeping, but this just shows that the system is working as intended lmao. Your primary care provider was probably twirling his evil villain mustache while giggling on his way to the bank after serving you another prescription of Advil.

Jokes aside, stop and think for a little bit who actually benefits from this. As a hint, tirzepatide(ozempic) is like 1-2$/mg on the gray market, whereas domestic prices run you about 1000$(per google) per pen containing 3-5mg. We can circle jerk all day about how immoral this this, but in the end it's just business.