I agree patients are bad, but let's not take things out of perspective ...
Just a thought: abolish the patent system. Pay the pharmaceutical research companies directly, by the State, like we do with military research or civil works. I prefer free markets but anything touched by patents is not a free market either.
The cost could be shared by the rich countries. Research is expensive but is a fixed cost. Manufacturing could be done by the free market, because all drugs would be generic. Rare diseases could be researched instead of just profitable ones. We would avoid all the "convincing" doctors to buy expensive patented drugs. Some companies would be specialized in research, others in manufacturing. Developing countries wouldn't have to be worried about patent fees they can't afford.
IP lawyers would lose, I guess.