If patents and copyright never existed, where would society be today? What impact would it have had on the industrial revolution? clock making? pharmaceuticals?

If patents and copyright never existed, where would society be today? What impact would it have had on the industrial revolution? clock making? pharmaceuticals? material science and genetics? Would we have been set back a century? A year? Or developed even farther? How much farther and at what cost? Of course nobody knows, all I know is it's useful to remember it goes far beyond Apple and the RIAA... and things will change incrementally as they always have.