In belgium the government sets the maximum price of drugs. The drug company has to submit a dossier explaining objectively why a particular price that they propose is reasonable.

I think that is what we need in the U.S. When I was in college I survived on a food budget of $100/week during my first year. I have diabetes, and I am supposed to (though not required) test my blood three times a day, 21 times per week, at $1 per strip. My Metformin costs me another $22 per week, and a two other drugs costs me about the same. The result is that a single well-controlled condition costs me $88 per week, $352 per month.

Put another way, if I was working minimum wage without insurance and no other income (12% tax bracket), I'd need to work 13.6 hours to cover the drugs for that one condition, 34% of my take home (roughly, I didn't include state tax, social security, etc.). Where as one person I would have been above the poverty threshold of $12.14k in 2018, now I would effectively be below it.

This is why so many people who don't have steady jobs (e.g., the gig economy) have to choose between drugs and food.

I’m not arguing the price is low, I’m arguing we don’t know the real price of the generic.