We’ve all heard a thing or two about the American healthcare system. To put it simply—it’s probably not the best system in the world. People who get ill are sometimes left with huge debts, it costs hundreds (if not thousands) of dollars to call an ambulance, and they can even charge you for “skin to skin” contact when you give birth to your child. Talk about unfair!

When it comes to medicine, the situation seems even direr. Recently, Emily Porter, a doctor based in Austin, Texas, shared an infuriating Twitter thread about the cost of drugs and ridiculous markups on medicine. Scroll down below to read it!

More info: Twitter

This doctor went on Twitter to share a thread about the ridiculous markups on medicine

Image credits: dremilyportermd

The thread shared by an Austin-based MD has caused quite a stir and received more than 56k likes and over 18k retweets. A lot of people on Twitter found the thread infuriating. “Why aren’t Americans smashing [things] up over this and demanding a better system?” someone tweeted below the now-viral thread. “The worst thing is that American healthcare ideology is bleeding over the pond. There needs to be some direct action ASAP.”

Image credits: dremilyportermd

Image credits: dremilyportermd

“Retail pharmacies make an absolute killing”

Image credits: dremilyportermd

Image credits: dremilyportermd

“How frustrating to be a patient and take in a prescription only to find out it isn’t affordable”

Image credits: dremilyportermd

Image credits: dremilyportermd

“The patient is angry, the doctor is frustrated, and the pharmacist is busy”

Image credits: dremilyportermd

Image credits: dremilyportermd

Image credits: dremilyportermd

“So you’ll wait in the ER and we’ll avoid eye contact the 9 hours you’re there feeling like we’ve failed you”

Image credits: dremilyportermd

Image credits: dremilyportermd

Here’s what other people said in a viral thread

Image credits: liberalinTX

Image credits: CBW_TwHR

Image credits: jypseywheel

Image credits: OnkelMaike

Image credits: edwinhollins

Image credits: dremilyportermd

Image credits: ParagMajmudarMD

Image credits: jcovvey