So when you write, "This big pharma corporate research model does not work at NIBR, or elsewhere." you really mean that over the last ??(10?) years these models have failed to produce any (or many) marketable drugs. But if you look that the market, it has been almost 20 years since Pharma research has produced any drugs other than "me too" drugs that can and should be replaced by Generics. Pharma develops, patents then markets these drugs through sales reps because they would have no revenue in these markets if they didn't. In another thread on Cafe Pharma a study in a peer reviewed journal from an organization that is the 2nd largest representing board certified family practice docs found that 72% by count or 64% by costs of drugs in a clinic could and should be replaced by generics.
So, these research models have produced mostly "me too" drugs that are then marketed unethically when they should be replaced by generics and then this research model has not even produced those in the most recent years.
Obama Care will put even more pressure on this and after a time, the Fed Govt and all Private Insurance will refuse to pay for any branded drug where their is a generic substitute. As this becomes apparent then why would Pharma continue to fund research models that can't produce anything marketable and when they have over the last 20 years those will now not be able to be paid for?
Basically, the Pharma Research model was extended by the development of "me too" drugs and when the ability to find and patent the 2nd Generation of "me too" drugs, call them, "me too, me too" drugs or new drugs to better treat those conditions Pharma extended the gravy train by finding ways to market these drugs, waste US Healthcare spending, using immoral techniques.
With Obama Care the gravy train is over baby!