Which government social programs fund the $161B in pharmaceutical R&D? How do you and I have a direct say on how that money is spent? What we need is a direct

Which government social programs fund the $161B in pharmaceutical R&D? How do you and I have a direct say on how that money is spent? What we need is a direct competitor to government. I am all for government regulating what is safe/unsafe to consume/use/inject in your body. However I would like for us to fund development and have/give free access to the discoveries.