However, given the choice you would choose the pharmaceutical grade right? You are even asserting it is associated with social class. The Costa Rican doctor is

However, given the choice you would choose the pharmaceutical grade right? You are even asserting it is associated with social class. The Costa Rican doctor is actually making safer drugs available to a broader market. In that light, I think you could interpret the Doctor's actions as moral as he is simply meeting a market demand and is providing the least harmful product to meet that need.