I don't say that it's impossible with American salaries to get medical treatment in the USA, no, I mean, why should product X cost 20 times more in the USA than in Turkey?
You should know this already, 'It's called the stand of living.' You can't compare the standard of living in the US with that of Turkey. Even the power of their currencies varies, and the exchange rate of the USD in Turkey and most countries will make it feel that it is worth more. But it's still the same USD in the US, and its effect can't be felt the way it will be felt outside the country.
Maybe you don't understand. You can't compare the standard of living of Germany to some of the developing countries, for example, to Zimbabwe but really a lot of foods in Zimbabwe cost more than in Germany. And I've been in some small countries that have low monthly salaries but import things and holy shit, chocolate and chips were three times more expensive than in Germany and somehow there were small supermarkets on every foot step.
So, that's why I say that pharma companies are robbing people in the USA. Materials cost the same, equipment costs the same, I believe there is no astronomical difference in production and delivery expenses. But you know what? There is an oligopoly on market and these companies do price fixing, maximizing the already enormously high profits and paying some money to the government to keep their mouth shut. That's what makes insulin and other medicines to cost that high in the USA, nothing else.
And high standard of living means when you earn high and spend low to fulfill your needs. If you earn high and spend high, then it's just an illusion to think you have higher salary than any person who lives in developing country if the cost/income/spend ratio is the same. But that's not so in the USA, we all know that.
I quite understand you, but it's you that didn't understand me, you are actually not following this in the part of economics. The first thing you should consider is that if the US is exporting expensive things, they are equally importing expensive things (e.g. Of the one I know, my country sells goods to the US in the value of how they sell it in the country (US), not the value of what it worth in my country. Sometimes, they will sell it 5 times more), which could be traced to their standard of living and the strength of their currency. Generally, the power of the US currency and their living standard are like a two-edged sword for them, it could be seen as both advantageous and disadvantageous, especially when dealing with external countries, you are only seeing it in the disadvantageous view which can't balance the scenario. Every country has their standards, while some are better or worse than the US in some cases.
Also, think of where the medical and pharmaceutical equipment is being produced, if it's majorly within the US, then there is no way it will not be costly because of their standard. And thankfully, insurance is working well in the country, the government has thought well on this, which is why their "Medicaid" is fully functional.
It's the external people that would need to plan their medical tourism which I don't see as a by-force to come to the US for it.