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As for the price issue, Kongstvedt said that usually happens when a pharmaceutical protected by a patent has few competitors because we allow a free market in the U.S., unlike pretty much any other nation in the world. Combined with our third-party payment system in which most people are protected from the impact of that pricing when a drug is covered, it provides a powerful motivation to drug manufacturers to jack prices up until they actually can look down upon the International Space Station, Kongstvedt said.