So much debate around simple thing. A private enterprise (including medicine) is driven by profit motive, that means decreasing cost (bottom line, quality) and

So much debate around simple thing. A private enterprise (including medicine) is driven by profit motive, that means decreasing cost (bottom line, quality) and increasing margin (price). In a free market, quality decrease and price increase is balanced by competition. Once competition is severely limited and the minimal quality is enforced through things like FDA - the sky is the limit for the price.