Currently, we have a cash cow market.
Cash cows in the business sense are repeat customers that you build a relationship with. That would be wonderful except the reason you SHOULD build a relationship with the customer is that the illness is just an excuse, they wanna see you. The hypochondriac customer has a need for love that cannot be cured for instance. The medical industry pushes them aside as troublemakers. Actually, they are your repeat customers. You talk to them about issues, because you can't really cure hypochondria, and you shouldn't try. They like hospitals and they wanna be there. Just give them a back massage or something. What's that you say? Medical professionalism? Bollocks! You can't claim to be professional when it isn't a small few but the majority who are cash cows.
Cash cows are a sign you aren't really treating the problem. Also the drug you give a cash cow needs to be free at your end (why I used back massage as an example, something you don't have to buy). Why? Well, let's say you have a drug that is relatively inexpensive when it is common. But now that you have one thousand people on it, supply has gone down, demand is up because you have treated (but not CURED) patients, and so the price is going steadily up. In fact, the number (and price) will continue to go up because you never bothered to find the root of the problem or at least one by one cure each subject of it. Drug that was $5 dollars is now $250 dollars. Great, you're making big money now! But are you? Generally, no. If you were making $5 for a one-off treatment of 5000 people you'd make $25,000 right on the spot. Even if you didn't address the root of the problem, if you cure them for a year or two, price is under control no matter how many customers you have. But now, with the cash cow overglut, prices are skyrocketing.
They get insurance to pay for it, but even if every tries to have insurance, insurance costs skyrocket. They someone has the idea of tiered insuance. So people pay for insurance but it doesn't cover the drugs or procedures they actually need. Price is out of control!!!
Jesus didn't really believe in cash cow. I didn't either, as a computer repair type. But I sucked at my job, and wasn't able to cure anyone. I also had people who wanted tutoring, but I never felt like I got to the point where they could do it well themselves. Those were cash cow, and I was supposed to build a relationship with them, but I was pretty terrible at relationships. I suppose every now and then, I do help people. But I don't have much business. Basically, I suck and I know it. What God seems to be calling me for is writing ( I probably suck there too but I've written a fair amount, so).
Here's how this model works. You repair the problem (computer repair should be a matter of virus removal). The person is impressed, and they recommend you to others. You cure them too, and word spreads.
The thing is, although Jesus could have made a killing, he was running on a "donation only" model. Occasionally some wealthy heiress would be like "You're Jesus? Great, I'm Joanna, have like 10,000 shekels." But his actual customers, he cured one and done. Does this mean had he charged, he would be poor? No, because he drew more people from more towns and moved around to different areas. His people, centuries latter, have still not run out of customers. Though now the church is not about missionary work but itself about cash cow. Asking the same people on Sunday for money. Face it, these people are bored and want a challenge in their life. They want the life-changing experience.
This model is sustainable, because while they suffer from epilepsy no more, they now have a few aches and pains every now and then. Or a bad cold. They are repeat customers, but also they are loyal to you, because you changed their lives. They were a town leper, now you made it so they can go pray in the temple again. Or to put it in modern terms, you do the long slow process of therapy for someone with Tourette's. As long as you are curing them (even though not instantly, like Jesus, but making steady progress), you are building a relationship, you are getting money, and you have a customer who will recommend you. When you finally do get them to stop saying "damn" loudly and uncontrollably, they are a new person. They can go into libraries and train stations again, they can have that job they wanted.
Having most of your patients cured instead of treated is a working model because it keeps prices in control. They will recommend you to others too, just as car mechanics stay in business by curing individual problems, rather than "sorta" fixing the problem and having it recur over and over. People who don't actually cure most of their patients eventually wind up out of business. People go to someone else who will cure their car. And that person treats the problem rather than symptoms.
The problem with biotech is I don't believe in the solution. Tinkering around with people's genes is a good way to accidentally cause cellular collapse or something if you know just enough to do things wrong. I know better than that doctors never make mistakes. That's why they have legal team.
But is it a sustainable model? Well, if you could cure vs making worse, then yes. Goldman Sachs is wrong. But gene therapy and biotech can go very very wrong.