I find this rather cheap personally.
But locally, calling 4.5€ per month "obscenely expensive" is really far-stretched. One baguette cost 1€ here (~ 30€ per month).
http://www.chemistdirect.co.uk/dispersible-aspirin-tablets-7...
(Ok, there's shipping too, but if you're buying a bunch of stuff it's not that bad.)
Who says our healthcare is more expensive?
WHO indeed - http://www.photius.com/rankings/who_world_health_ranks.html