Closed market.
Corporatocracy

"Instead of it taking 1 million dollars to establish the safety of a drug, you now need 300 million dollars. So none of the small inventors, or the people with good ideas can ever hope to possibly hope to get their drugs approved. They put you in administrative limbo where the best you ever hope to get is this backburner simmering kind of thing, and I know of a number of good scientists who have got IND's (Investigative New Drug Applications) to test drugs, but when you try to market the drug they will put you out of business, and Dr Burzynski is the prime example. Brilliant scientist, wonderful results in cancer, validated by the NCI, and yet he is on the verge of federal indictment. Interview of Dr Ralph Moss, Ph.D