"Indentured Servitude" is the name of the game. Its really slavery which pays an amount which never is enough to pay off debt which in turn brings more debt requiring continued servitude. You see that in places where the price of commodities continue to rise, jobs are scarce, but the base salary stays the same (flatlines). [ie Third World countries.]
Plus basic "usury"; which we are supposed to have laws against in the 21st Century.
Its all the rage.
....and yes, pharmas are definitely trying hard to sell people on pills here in the US. Commercials run all day and night here ... the side effect lists are scarey to boot. A large number of children are pill poppers ranging from anti depressants to ritalin.