Let me fix if for you also.
All human societies have a greater or lessor crony mentality.
I think the USA excels in having too many laws, regulations and the avoidance of liability, UNLESS the drug company can make billions of dollars on a drug, they they are OK with possible liability.
In the USA we (companies) tend to use Congress and laws to create a system where they can maximize profit, minimize liability and decrease individual choice. In the US we are free to use whatever corporate resource we want to, but try starting a business selling street food, it's nearly impossible.
While in places like Thailand, Russia, cronyism is more of an individual people to people basis. A small amount of money "facilitates" transactions.
In the USA, if you are wealthy you can pretty much find a doctor to prescribe any legal drug whether or not it's indicated.
