A month's wage in Pakistan is about $125. So each syringe would feel like a cup of Dunkin does to many in the USA
Which would be entirely reasonable cost as part of a healthcare visit.
When people complain about healthcare costs, they're not complaining about things that cost the same as a cup of coffee locally.
Median household income in US is $83k so 0.04/125 * 83k is about $26, much more than cup of coffee. If you're sticking like 15 kids a day with the same needle, that's like $400 a day saved.
I have orders of magnitude more cups of Dunkin each year than I get injections at a doctor