what about folks like these? (no clue of they ever got off the ground - the article is from ‘18). The blueprint is there, just gear up and involve the bigboxes for public access:
A group of hospitals have joined together to make their own generic drugs in order to address rising prices and shortages.
https://www.healthline.com/health-news/are-generic-drugs-about-to-go-down-in-price
I wonder what has become of this group.
Did BigPharma shut them down?