For sure a valid question. My presumption is that the same drugs legally produced & sold under that country’s regulations would have a reasonable factor of safety. Good enough for their own people anyway. I think also if I’m faced with the decision, no insulin because I can’t afford it, or drugs only approved to Country X standards, I’m already in a risky situation. For sure some people are already doing this & having to do so illegally.

Dumb idea, I know nothing about this all. What about alternatively opening up across-the-border purchases, allowing people to legally buy from other countries at a fraction of current US prices. Drug companies can still set their US, uncontrolled prices at whatever they want, & no one has to buy it from them. It’d be like, a Free Market at work. I know this is oversimplified & there’s a lot of complications I’m not aware of, but, just a thought. Also, speaking of unconstitutional, isn’t group collusion to manipulate the market a violation of Sherman Anti-Trust law? Just saying.