You could nationalize ownership of successful necessary drugs. Not dissimilar from eminent domain. Figure out fair market value for it, and then divide the co

You could nationalize ownership of successful necessary drugs. Not dissimilar from eminent domain. Figure out fair market value for it, and then divide the cost over decades, instead of price gouging the first 7 years of customers. You dont need to nationalize the entire industry to control the intellectual property (and lets be real, that and regulation are most of the "cost.") Turning something with only short term incentives into a long term payout is something government excels at. Government can afford to pay things back slowly without quarterly returns. Private industry can still handle invention (possibly with NSF grants involved in initial production cost and testing, maybe leading to partial government ownership or a rebate during the eminent domain part) and production and distribution.