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It's across the board, not just medicine. Cost of tap washer 45c, Cost of changing said tap washer $45 (if your lucky). Cost of living for everyone is much higher here.
But I agree that the system here is flawed. A lot of it does have to do with government and self imposed regulation on numbers in various specialities as well as other legislation. The people in the field are happy to keep is as is at it benefits them.
UK prices outside London: Plumbing prices for repair leaky tap
http://www.whatprice.co.uk/prices/plumbing/repair-leaky-tap.html
American faucet repair: Should You Repair a Dripping Faucet? | Wise Bread
http://www.wisebread.com/should-you-repair-a-dripping-faucet