>>Is that true with pharmaceuticals?
No. Big pharma rorts US consumers fiercely and attempts to prevent self-payers purchasing across your Northern border, because paying through the nose is your duty as an American.
"... They ne'er cared for us
yet: suffer us to famish, and their store-houses
crammed with grain; make edicts for usury, to
support usurers; repeal daily any wholesome act
established against the rich, and provide more
piercing statutes daily, to chain up and restrain
the poor. If the wars eat us not up, they will; and
there's all the love they bear us."
-- Shakespeare: Coriolanus, Act 1, scene 1