[dmitriid]

> And it was invented there?

This is beside the point. You pay for insulin, but with taxes. In return, you don't have to deal with "do I eat or do I get insulin".

> When I say create I mean discovered not manufactured. The R&D.

The question remains: are the creators actually rewarded?

In the US most R&D now is performed by small companies, government entities, or with government money. Large companies buy this research cheap and profit from it immensely. There are cases when all new drugs that appear on the market are based on public government-funded research.

The amount of revenue that goes back into R&D decreased while revenues increased.

More data here: https://www.cbo.gov/publication/57126