[tathougies]

> One that private pharma R&D is getting less efficient, creating fewer and fewer drugs per billion dollars

That is because government backed drugs can typically gain approval without as much bureaucratic overhead. When the government experiments on its citizens (like the syphilis experiments, for example), no one is held to account, whereas private companies have to have liability insurance, etc, and do things the proper way. If the government actually enforced its own standards on itself, it's unlikely they would be more efficient.