&gt; Let big pharma reap their R&amp;D costs some other way<p>How?!  You think they should create a social network for doctors?  A billion dollars in ad sales is somehow morally better than a billion dollars from saving lives?  They&#x27;re making their money by saving lives, and being criticized for it.  You&#x27;re effectively saying that they shouldn&#x27;t do any R&amp;D, like the Indian generic drug companies.<p>Sorry for the exclamation points.  I think that you have a particular system of morality, that is more important than saving lives.  To me this is like arguing for abstinence-only sex education, which demonstrably does not work.  I wish in general people would be more willing to look at data and outcomes.