Earlier quoted context omitted.
No, I don't pay the doctor, the healthcare pool does. And then, the doctor is incentivised to cure me, not keep me in a perpetual drug-purchasing lifestyle as big pharma would.
Doctors get cash and hospitality benefits from big pharma though based on how they prescribe. If there is drug X from company Y and drug A from company B and then there is no difference in therapeutic benefits between two drugs, but company B gives doctor cash and has access to regional sales data where the doctor operates, they can modify the benefit based on sales. Then the doctor is incentivised to prescibe the A.…
Whatever pill the doctor writes me up, I always end up asking the apothecary or looking up online the cheapest substitute. This is how the elderly here cope, they can barely pay bills, let alone choose which pills to skip. I've personally not had any problems with big pharma substitutes so far.