Would all of this irritate you as much if everything involved was state-sponsored? (And, for the moment, put aside your obvious libertarian politics.) What I'm getting at is that, if this was a "perfect" world and all of this (the doctor's visit, the drug itself, etc.) had no cost, financial or temporal, to anyone, would you still be as irritated? That is, is it the fact that you have to rely on a doctor or the fact that it's a money-making scheme? You seem to be vascillating on that issue. I can understand that it might be both for you, but, generally speaking, people get worked up over a specific reason and then find other (legitimate) reasons to back up their stance. I want to know which it is for you.