It doesn't involve a sleazy entrepreneur or a breakthrough drug that costs more than a luxury car. It is not even a new story. Even so, it reveals a great deal about how the pharmaceutical industry operates—and whether its practices really line up with the public interest. It'd be more than enough to put, additional kids in Head Start, for example. Sometimes the benefits of a drug justify the enormous sums government, insurers, and individuals spend on them. They treat or cure a disease that would be debilitating and require ongoing, expensive treatments, or they relieve symptoms without the usual side effects, making them clearly superior to their predecessors. Is Nexium one of those cases?

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