Where on earth does any part of this come out with me making the decisions? Is authoritarianism so ingrained now that nobody can imagine doing something without someone else telling us how to do it?

How would you change things so drug mistakes never happened again? And yet the drugs would be all cheap and easily affordable? How do you eliminate marketing without eliminating competition, i.e. creating a legally-enforced state monopoly?

You painted yourself into another corner. The alternatives, if any, are not workable. Maybe, just maybe, the system we've already got is the best possible one.

If you're ever going to work out real answers to things, you have to get past the knee-jerk "Death to the Corporations!" response.