Wonder if some form of FOSS approach would work as an alternative development model for pharma?
This made me think of the "Institute for one world health" . It came out as a non-profit pharmaceutical company in the mid 2000's. Victoria Hale was the founder-it got her a MacArthur fellowship. It is focuses(focused?) on global health and populations underserved by for-profit models. I think they successfully developed a treatment for leishmaniasis. it's an adorable model and should be pushed but as usual it seems like the philantropy money is limiting.
These folks gave an interesting talk on producing pharmaceuticals at defcon a couple years ago.
IIRC it was more about production methods than developing new treatments.
https://fourthievesvinegar.org/