Sometimes what we see as price gouging is really a recovery of the cost of development. To develop certain medications can cost a lot of money and someone has to make the investment to get the research done. When the product hits the market, you can't charge the first buyer with the entire development cost so it is incorporated into the cost and spread out over a longer period. At some point third-parties are able to release generic versions. Why do you think these are at such a lower cost? Because they didn't have to make that initial investment to develop the final product.
I'm not saying some gouging isn't being done but it isn't as black and white as we like to make it.
Whether or not these medications are truly needed can also be debated. In our society today we expect to be able to take a pill to solve all our ills when in many cases, the problem is most likely poor living habits. We live under exercised, lazy, couch potato, lifestyles and we have horrendous eating habits.
I've proven this to myself more than once. I deal with borderline hypertension so I take a pill to control it. The truth is, if I lost weight and got more exercise I know I can rid myself of that "need." I know this because dropping some weight my blood pressure showed improvement. I was diagnosed with type II diabetes a few years ago. There were also concerns about my cholesterol. LDL was high, HDL is low, and my triglycerides were through the roof. A few months later I lost about 30 pounds. I was able to drop the diabetes meds, my LDL cut in half, and my triglycerides fell to within normal target ranges. One time I was having issues with low potassium causing fatigue. Instead of taking the
prescribed pill I decided to adjust my diet. Within two weeks my potassium returned to normal target range.