It's hard to know sometimes where to come down on an issue.
First of all, the high cost of drug production in the US is due in large measure to the incredibly high cost of meeting myriad FDA regulations.
Secondly, the drug companies - publicly owned all - crave to pay these regulatory costs AND make a profit for their investors in the twenty years provided.
More importantly than these considerations, IMHO, is the hard fact that perhaps millions of people will die absent these drugs - profits aside. Regardless of how we in the US like to hold ourselves more advanced than other countries, obviously we hold life everywhere cheap. Life is certainly not more valuable than, say, Perdue-Pharma profits.
I am required to wear the Duragesic fentanyl patch for chronic pain. For the life of me I can't understand why a month's worth of this drug cost $1,100.00. Or why the cost for these same patches is so significantly less in Canada.
There is a substance used in equatorial Africa by native tribes in their religious rites. This substance, Ibogaine, when prepared from the root bark of a certain shrub produces detoxification from heroin, opiates, nicotine, methampetamines and a host of other addictive substances with only one treatment. Ibogaine is a schedule one substance in the US, that is to say it is illegal. There are a few investigations ongoing into this substance, notably that being conducted by Dr. Deborah Mash, University of Miami. Treatment is provided on St. Kitts, safely out of the US for $12,000.00 for a two-week application and follow-on psychological support. Why is such a promising substance, one that could solve a terrible societal problem all over the world banned here?
Some have suggested that investments in thousands of OTHER treatment modalities and clinics (methadone, suboxone, subutex, and others) act as a bar to development of Ibogaine-based treatment. More properly, the people making a profit from these alternate treatment modalities are acting as a bar to development of Ibogaine-based treatments. IMO, this is far more serious than a mere ethical problem; this is a criminal undertaking.
In the end, I think the entire question boils down to a question of money, profit, greed. How can we sit silently by and - guilty of murder by acts of omission - allow our represenatives to look the other way while millions die for lack of our "miracle" drugs? These drugs would be more miraculous if those millions of our fellow human beings could actually get the drugs - profits be damned. "To the extent that you did not do it for these the least of my brothers..."