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And we are not on the high side. Nice dramatically restricts drugs available to the NHS. If you have ever had to fight to get Nice approval you will understand I fave hence my retirement at 50.
But you are still forgetting the main point. EMA allows the nations under it to move drugs around. If ou need a drug in one nation. That your helth service dosent want to provide. You can buy it yourself and import from another EU nation. As we could in 2019. Now you cabnnot unless MHRA also covers it. So any drug created since 2020. Requires 2x the paperwork to even give you the option to buy. And even then. If Nice dosent support it. You cannot cross EU borders into the UK without getting a licence to import. So Even if you pay a private doctor to RX it legally getting it into the UK is harder then any other EU nation where the EMA accepts it. Some phamacies may do it for you. But not most of the big ones. London has a few that specialise in it for forign citizens visitinglong term.
just so you know back in 2000 that was multiple simi trucks of paperwork because at that point FDA and EMA would not take digital records.
It is still 100s f gigabytes of data for each drug. Needing to be formated for each agency.
As I said single payer is our only advantage, As even most EU nations have universal not single payer healthcare. But sales is still a relatively small part of the cost. Certification represents a huge part of all drug costsP Grooving it dose what you say and that the side effects are within reason at multiple levels haveing to interpret the results as each agency wants. And answer seperate questions from each agency before they will certify your drug as suitible for theie citizery. Is by far the largest cost after actual testing on animal subjects. independent of data analysis and presentation human subject testing is actually cheaper when it happens.
Not during shortages, the Single Market doesn't force anyone to share anything
Without a prescription?
The MHRA did the vast majority of the certification for the EMA...and the UK is still using the EU law and EMA to approve most medications
But, while the UK still relies on ema decisions, it has approved new cancer drugs more quickly
https://www.imperial.ac.uk/business-school/ib-knowledge/health/post-brexit-medicine-approvals-what-we-know
And the UK has the 7th largest share of the global pharma market. Do pharma suppliers not bother with approvals in Japan or Canada either?
PS you know cross border prescriptions were legal in the EU. Doctors in the UK could write me an RX and I could take it to Germany to fill. Was a common thing for many who often had to work cross borders. For thing the NHS covered it was easy and needed for my insulin etc. But for things not covered under NICE. Most NHS GPs will be happy to schedule a private appointment and write a non NHS rx. It really was not that uncommon pre brexit. With pre 2020 medication it can still be done. As most Chemists in the world recognise the need for travel (UK tends to require london as our chemists are often tied to NHS supply lines). The issue now is. It is illegal for me to bring medications back in any supply. Such checks did not exist pre brexit.
So, just a £500 round trip to get a script filled?. The number of people doing that must be minuscule
So not common at all then.
Not uncommon in the UK. Much less so pre brexit as so many companies moved there operations out of the UK. But yes 1000s of people I the UK worked in the EU on and of related to their job. So not a majority. But far from uncommon. And ferries to the EU cost about were very often cheaper then trains in the UK. Heck even plans often are but those cheep flights don't tend to be regular. Ferries are easy ways to get to the EU cheap and often.
And within the EU land mass. The open borders make it a drive or often only a freaking bus ride. Copletely invalidating all you bullshit about how the EU ain't as open as claimed. Just because indevidual governme ts are not forced to share. Because the EU dose not remove soverienty as brexiters keep bullshitting. In no way indicates that cross border deals were not much easier then you claim.
And you while travelling to the EU was way cheaper then 500. Closer to 100 in petrol and ferry feels when booked in advance. 500 is only a huge cost every few months for the poorest in the UK. Most with an above minimum wage jobs have and will spend that hor helth needs.
So no that sort of cost in no way indicates it was rare.
Maybe you need to get out of your bubble a bit. A sizable % of people far from rich are able to spend money on thing that help them work healthier.
Close to home think Gibraltar and Northern Ireland. Further afield - I work with people who regularly travel for tasks that require an on-site presence and who have long term health conditions.
Probably more common than you think.