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obviously
anybody who believes pharma costs are justified by materials is... well, let's just call them uninformed. It's not justified by R&D costs or production issues. It's justified by the stock market, by the CEO having a race with other pharma CEOs for the biggest bonus, and by no other thing.
I work in med device, close to pharma, but a bit different. There is a lot of overhead. Beyond all the validations required for startup of each line, there is quite a lot of Sustaining work.
I'm not trying to defend this price, or the gouging that pharma does regularly. But I don't think the $5 price includes all the overhead of the QMS.
It's like taking the price of the ingredients for a pizza and saying it's what it should cost.
It's really cheap to make a book but that doesn't stop publishers from selling them at a large markup. This is a pretty basic supply/demand scenario. The pharma company doesn't owe anyone anything. They exist to make money. The best way to lower the cost is for a competing product to enter the market.
Well if the materials to make a pizza was 5 dollars and it was being sold at 1,000 dollars, saying "oh thats just necessary overhead" would lead me to wonder why the hell that level of inefficiency was tolerated.
Patents, e.g. legal monopolies.
Maybe fines and penalties for undercutting someone who holds a patent should be scrapped for nonprofit manufacturers of generics.
Maybe profit should come second to the betterment of humanity.
Because each new type of pizza is made of brand-new ingredients, not just standard wheat flour, tomatoes, cheese, spices, etc. And they're baked anew and taste-tested to make sure they're not disgusting, or worse, have toxic effects.