I think that answers it well enough. Big pharma buys a lot of leads from small pharma, but I think small pharma could fill the pipeline pretty well without ruthlessly exploiting it quite as much.

I wasn’t sure if you were a natural remedy type nut. I now take your statement to be hyperbole since a lot of people die from car accidents. Only some of those can be blamed on big pharma making a treatment too expensive or getting the other driver addicted.