&quot;With a price of drug per year being twice the average income in the richest country in the world - that creates impossible situation by definition for half of its populace.&quot;<p>Even worse. There are a few gigantic outliers at the upper end of the scale. That means that the number of people below average income will be &gt;50%. What you want to check against in such cases is the median (50:50 split by definition).<p>&quot;Also value provided is not always correlated with value extracted&quot;<p>That is exactly one of the main problems society is struggling with. How do we even measure value provided? It&#x27;s a subjective measure to begin with. In the case of the hedge funds manager, it&#x27;s probably net-negative for most people (but I&#x27;m sure her friends would disagree).