Pharmaceutical monopolies over the best production methods and the laborious process of getting production approval by the government makes upfront cost of new

Pharmaceutical monopolies over the best production methods and the laborious process of getting production approval by the government makes upfront cost of new competition incredibly high. Thus, a couple companies control the entire supply and can choose price. It genuinely costs almost nothing to produce and there are hacker communities around doing it at home, because it's genuinely that easy.