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Medical goods is around ~12% of healthcare expenditures. Even if US (richest country in the world) pays more they would have to pay insanely much more to subsidize single payer healthcare in the rest of the world.
And why would pharma reduce prices in other parts of the world just because Americans pay more? It's not a charity. They charge what the market will bear. Hepatitis C drugs were incredibly expensive because they prevented much more expensive liver transplants down the road. The market would bear a high price then.