The US pays the highest prices for prescription drugs and while Pfizer, the US pharmaceutical firm, says it is moving its tax residency to Ireland because of high taxes in the US and in each of the past five years managed to declare losses there, nevertheless its home market is where it can get the highest prices in the world for its products. Prices are also high in Ireland and in 2012, 20 mainly US drugs companies with facilities in the country, warned Enda Kenny, taoiseach, that a decision about changes in the State’s arrangements for drugs reimbursements and pricing, could have implications for 25,000 jobs and future investment.