Yeah, the bit about name-brand drugs being only for those who an afford them out of pocket is especially bad. Drug patents are 20 years, so the peasants would be getting 20-year-old cancer treatments, while the select few would be getting actual modern medicine. Besides the ethics, though, what would the cost of modern medicines be for those few thousand who can actually afford them? Today, plenty of middle-class people get modern drugs because their insurance pays for it, so the cost of research, clinical trials, manufacturing, etc is distributed among a large population. What would the price of a pill be if only the richest of the rich could afford treatment?