system
Given the following post, respond as if you're commenting on Reddit:
human
ELI5: Why does the medication I paid $10 for in South Africa cost $110 in America

It's the same brand, who's getting the extra money?
gpt
I had it explained to me like this one day, so correct me if i'm wrong:
Healthcare costs, in general, but especially in the US are greatly inflated. The insurance companies refuse x number of claims, which then go unpaid in one way or another; either the company doesn't pay, or the patient can not afford it after the claim is denied. 
Because of this, X number of procedures/medications/etc that have already been administered are not going to be paid for. So to compensate they raise prices on everything else. Those that do pay are offsetting the cost of those that cannot. 
Mainly this applies to hospitals, if you show up in the ER they WILL treat you regardless of your ability to pay. Treatment first, ask questions later. 
It makes no sense, and it's a horrible system. Medicine shouldn't be a for profit endeavour but thats another story for another day.