The US pays the most for healthcare for worse outcomes. Free market not doing so great. An expensive new drug is not necessarily an effective drug, nor is a free market required to innovate. The US imports a very effective lung cancer immunotherapy vaccine from Cuba, for example (CIMAvax EGF).

https://khn.org/news/article/medicare-ruling-aduhelm-controv...

https://hbr.org/2021/10/the-u-s-can-lower-drug-prices-withou...

https://en.wikipedia.org/wiki/CimaVax-EGF