Over in India a GLP-1 is bought almost like any ordinary product, an open market. In America you get a monopoly, or a duopoly for the nitpickers. Over thirty generic versions of sema reached Indian pharmacies, pushing monthly out-of-pocket cost down to $14-$50. Imagine walking in with $50 and no insurance whatsoever, and leaving with a full month of the drug plus change back. So how well is the US system doing, exactly?