[siliconc0w]

You could tax people according to their means, record usage, multiply by impact, and disperse accordingly. Set guaranteed purchase orders and x-prize style payouts, etc. Hard but not impossible.

Maybe we get a few less drugs but I'd bet we'd see more curative cheap drugs we need desperately like antibiotics which are an economic dead-end today rather than the cost escalating for-life stop-gaps like statins, diabetes drugs, biologics, ed drugs, hair treatments, etc.