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Prescription drug list prices in the United States continually are among the highest in the world. [1] [2] The high cost of prescription drugs became a major topic of discussion in the 21st century, leading up to the American health care reform debate of 2009, and received renewed attention in 2015.
Lead shot is still the best ballistic performer, but environmental restrictions on the use of lead, especially with waterfowl, require steel, bismuth, or tungsten composites. Steel, being significantly less dense than lead, requires larger shot sizes, but is a good choice when lead is not legal and cost is a consideration.