Mighty pricey, this Prostate Cancer stuff.

@jime51 This isn't a simple solution, but if you're within travel distance of Canada and can find a Canadian doctor to write you a prescription (I'm not sure if that's still allowed), Orgovyx here in Ontario would cost about US $215/month *without* insurance — the same as Firmagon — so you could take a nice weekend trip to your nearest cross-border city and load up with 6 months' or a years' supply.

Note again that while this practice used to be common 10–15 years ago, I don't know if they've clamped down on it now, so a lot of research would be necessary before planning anything.

@survivor5280 Yes, that makes sense. With my spinal lesion, I was on the operating table for at least 10 hours (two shifts of anaesthesiologists), in the ICU for one night, in a critical-care bed for two months, and in the rehab centre for another month and a half. I was seeing specialists almost daily, getting radiation and frequent imaging, and needed full personal care (I was paraplegic), including being mechanically hoisted out of bed during the first month. All my meals and prescription meds were provided by the hospital.

There's no way to know, since no invoice was ever written, but I expect I must have cost the Ontario healthcare system at least several hundred thousand dollars over those 3½ months. In the U.S., perhaps it would have been millions, at least on paper (I note the point about inflated billings and "discounts").

p.s. In my case, at least, no waiting and no rationing. I got all the care I needed as soon as it was ordered. Even my emergency spinal surgery happened less than 12 hours after it became clear what was wrong.

Mine was $148k sticker and $53k after plan discount, fully paid by insurance.