The centralized model you refer to in the last paragraph is akin to how a lot of big pharma r&d groups work. And they get about 10x less innovation per dollar s

The centralized model you refer to in the last paragraph is akin to how a lot of big pharma r&d groups work. And they get about 10x less innovation per dollar spent than small companies (innovation measured as drugs approved) Imagine how much worse that would be if it was govt rather than a big company