> First - if I cannot afford a treatment not getting it is not a choice.

The same is true in your system, substituting "afford" for whatever verb is better suited for your proposed system.

> Also the government should not leave R&D

Government leaving R&D to private sector(which is major source of funding even now, at least in the USA) would be the great decision. It will stop crowding out resources from private R&D, thus making R&D more effective and more beneficial to economy.

Patents are the separate issue. There is the flaw in your logic. Patents are government granted. You view them as undesirable, but your solution is even more government. However, the logical solution would be abolishing patents.

> Government leaving R&D to private sector(which is major source of funding even now, at least in the USA) would be the great decision.

The only people who claim this are those who have no idea what constitutes anything near blue skies research. Anything worth looking into for the mid to long term is going to have questionable profit potential and therefore not conducive to profit seeking.

There's a reason why most research uni's are public and the results are dumped out for industry to exploit, and it's not because it steals the talent by paying so well.

> You view them as undesirable, but your solution is even more government. However, the logical solution would be abolishing patents.

So your plan is to incentivize private R&D by abolishing IP. Hahahahahaha.

> The only people who claim this are those who have no idea what constitutes anything near blue skies research.

This is simply untrue, there is a great book by Terence Kealey: "Sex, science and profits", you should check it: http://amzn.com/B0045JKEQ2

> So your plan is to incentivize private R&D by abolishing IP. Hahahahahaha.

No, private R&D do not require additional incentives beyond those arising naturally by market forces.

Mid to long term research probably doesn't pay off inside the patent window so what does it matter? If I discovered a technology that's 30 years from adoption who cares if I can get a patent? It will be expired by the time I have any ability to make money from it.

Drugs usually have about 7 years on their patents before generics can hit the market. Since it costs sometimes hundreds of millions of dollars in R&D for one drug to hit the market, the patent period is extremely important.

Particularly since the drug must clear the FDA and there is potential for recall.