Erm, call me biased, but for almost every condition there is more than one drug. Popular ones can have dozens all doing slightly different things.
Corporations can wield massive power especially over smaller states. In big ones generally the number of them will mean government is pulled in several directions and often balancing each other out (USA and healthcare is obviously an example where everyone is pulling in the same direction). Smaller states can be so dependent on a small number that they hold massive power over what is done, and as are often not motivated by "nice" principles will worsen the lot of the locals.
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