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We see this all over. Generic brands can be on-par with (or even 100% identical) to name-brands, and the name brands still make money. For example at my local grocery store, you can buy distilled white vinegar from Heinz or the generic brand. The generic brand costs half-price (or less if you get the bigger container), but the product should be chemically identical.

There can be some arguments made (maybe you think the generic cuts corners and it is only 4.5% vinegar instead of 5%), and the same arguments can be made for the drugs. But IMHO they come nowhere near to justifying the price gap.

The thing that is particularly frustrating in the case of the drugs is how the brand-name is (for many people) the vernacular name. I grew up in a family that called many drugs by their actual name (eg ibuprofen & acetaminophen), but when I go to the doctor, many of them insist on calling them Advil & Tylenol. Sometimes it seems to take them a second to recognize the generic name.

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