I would assume that somewhere on the bottom line there is an analysis of what the drug itself is doing. For instance, does the drug cure something or does it treat the symptoms of something? I imagine most of former are thrown out right off the bat. What we need is a system for testing, developing and selling medications that is less effected by the human condition. Perhaps, we should close the private sector and hand this off to the government or at least breakup the process by allowing the private sector to sell without the burden of testing and development? Perhaps, we as taxpayers, should be handling the burden of cost for testing and development?