Not really a debate with you, more a point of view. I have long learned that everyone has a point of view and there is something to be learned by investigating all of them. I doubt I am smarter than you but have in varies points in life focused more on group level health care.
Of course the drug companies are capitalistic! They are trying to make as much money as possible. I understand that Gardasil vaccine was priced after looking at what savings it would achieve and retroverting it to a per dose basis. While this may have just been justification for their price I have little doubt it is many times the manufacturing cost, even when the cost of researching, testing and FDA approval are factored in.
My point is that while we control costs in many areas, we let the drug companies charge what they will, or at least for 17 years.... then the generics come into play and the price (within a couple of years) plummets precipitously.
And unless there is intervention, drug companies will remain as profit oriented as they can. It's the American Way!