What would happen if she was 58 years old. People get sick no matter what age it is. As far as we are the only country that pays R&D charges then why are we allowing that by agreeing to pay for it all. Almost all medication are actually made in India and then shipped around the world. Depending on where you live is what you pay. So why don't these companies require other countries  to participate in paying R&D?  What I think what happens i's that it though  too many middle men each taking their huge profit. Also generics cost can be almost as high as 80% of brand. Sorry but the reason that we are stuck with all the R&D cost is excuse to gouge Americans. Their is no reason a medication to increase in price 500% in a year (maybe people had not heard of epi-pen. WithoUT price controls only the very rich wI'll be able to pay everyone else will be in the ER's.