According to CBO pharma spends ~$90B on R&D (https://www.cbo.gov/publication/57126) so $30B I would not call trivial or a rounding area, but your points still stands that it is the minor share.
> A few million in research costs doesn’t write off billions of dollars in development costs. There is no mathematical way to argue otherwise.
There could be an important distinction between infra R&D and last mile R&D. The cost of developing a drug in our current system might be $3B today on average, but if you also had to replace all the infra R&D USG invested in over decades (GenBank, PubMed, and all the other databases from NCBI and the like) that these efforts depend on, it might be much higher. So I could still see an argument that the government pays for the research needed by all the drugs, then private sectors builds on that and pay for the last mile for each one.
However, I think you've put forward strong points against the argument "the research is done using public funds, and then privatized and commercialized later".
> Drug trials in particular are extremely expensive. People like to pretend these don’t exist.
I think in general people are frustrated because for all the money going into pharma people have not been getting healthier in the USA, in fact, in the median case, the opposite. So some big things are going wrong. I think you've shown that the problem is not that government is paying for high drug development costs and industry is coasting.
You are right. NSF backs this (https://ncses.nsf.gov/pubs/nsf23320). Businesses now fund ~80% of R&D, USG funds ~20%.
According to CBO pharma spends ~$90B on R&D (https://www.cbo.gov/publication/57126) so $30B I would not call trivial or a rounding area, but your points still stands that it is the minor share.
> A few million in research costs doesn’t write off billions of dollars in development costs. There is no mathematical way to argue otherwise.
There could be an important distinction between infra R&D and last mile R&D. The cost of developing a drug in our current system might be $3B today on average, but if you also had to replace all the infra R&D USG invested in over decades (GenBank, PubMed, and all the other databases from NCBI and the like) that these efforts depend on, it might be much higher. So I could still see an argument that the government pays for the research needed by all the drugs, then private sectors builds on that and pay for the last mile for each one.
However, I think you've put forward strong points against the argument "the research is done using public funds, and then privatized and commercialized later".
> Drug trials in particular are extremely expensive. People like to pretend these don’t exist.
I think in general people are frustrated because for all the money going into pharma people have not been getting healthier in the USA, in fact, in the median case, the opposite. So some big things are going wrong. I think you've shown that the problem is not that government is paying for high drug development costs and industry is coasting.