Bert,
Is this capitalism?
If a car company wants to sell me their car, I decide if the money spent is worth it. I will decide if the value of the product is worth the money. I will decide how much that car is worth to me. I will realize that the money I spend on the car is not there to spend on something else. I would look to see if a competitors car is cheaper.
If a drug company wants me to rx the latest and most expensive ARB, I have no financial stake in the transaction. None of the above considerations apply. The patient, who puts out a small share of the cost, really has little input. The insurance companies or state, who put out most of the money, have no input (except denial or prior auth.)
This, to me, is far, far, far from capitalism.
The current system shields the drug companies of most aspects of capitalism.
Gene