IQWiG (Drug quality control in Germany)

In Germany drug makers have to prove to IQWiG that their products are good compared to the ones already available, then only Govt. buys from that drug maker. Not many western countries are courageous and honest enough do this. In US Medicare and Medicaid are paid by Govt., and Govt. does not even negotiate for cheap price. Drug maker does not have to prove anything about superiority to sell to Govt.

US is a dream customer for Pharma