Pharmaceutical research is largely funded by the federal government, then private companies reap the benefits and gouge insurance companies, the cost of which is passed on to all Americans. Older people and people with disabilities often have difficulty affording medication. Only 10 drugs will be negotiated by Medicare, but lower costs of these will be a huge help. Yet pharma companies whine at any loss of profit.
https://www.washingtonpost.com/health/2023/08/29/medicare-drug-price-negotiations/