I want pharma and medical innovation to be huge money makers. I want founders and early employees in companies that innovate in these spaces to be fabulously wealthy. I want ambitious young people to dream of becoming a billionaire by curing cancer rather thank making a social media app.
I also want to leave money for the rest of the economy, so that doesn’t really leave room for $5200/year/person for 2 COVID shots. (That’s about 7.5% of GDP just for COVID shots if every American gets 2 such shots per year, which is pretty obviously untenable.)
I want citizens to not die of treatable diseases. Our goals seem to be different.
False duality. We can have treatments fairly priced. The only reason that this ones are so expensive is because monopolies and corruption.
In addition, like all technology, there is a tendency to go from something for the very rich to something common.
Successful covid vaccines didn't come from Big Pharma. Moderna and Novartis were not that.
Sure, in an utopian world that would work. But, here on planet Earth, that would massively increase the incentives of fraud. There are already huge issues with this. Increasing the payout by x100 would do more harm than good in this context.