Santfi has been making this medication in every country they sell it in. I think that does make the drug very expensive and much of it goes to waste. It used to be, when Mestinon was not so widely used, Roche would make the entire world's supply in New York and they would export it to the rest of the world. Every country in the world will allow sale of a US made drug.

So my theory is they could be making the drug here and allowing it to be exported to those who need it around the world. This would allow them to make less of the medication with more people buying from the same batch.

While it is supply and demand, it does seem terribly callus to allow people to fade away and maybe even die when an effective treatment exsists.

This is just so cruel.