I think the choice is not that obvious if you factor in sustainability. A health system that is all about saving lives but collapses on itself (taking down a chunk of economy with it) within a year or two is not better than a less effective health system that can run sustainably for decades or more.
IMO you need to give the drug companies enough money to cover their operating expenses and R&D costs and give some margin to stay afloat. But not more than that. It's hard to do because this aspect is one that is handled well by free market - but in healthcare, you very much care about the thing free market utterly sucks at - product quality. You need regulation to ensure the product is good enough, and many of the important criteria are not immediately verifiable by the customer at the point of sale. Trying to reconcile those two issues is the hard problem.
IMO you need to give the drug companies enough money to cover their operating expenses and R&D costs and give some margin to stay afloat. But not more than that. It's hard to do because this aspect is one that is handled well by free market - but in healthcare, you very much care about the thing free market utterly sucks at - product quality. You need regulation to ensure the product is good enough, and many of the important criteria are not immediately verifiable by the customer at the point of sale. Trying to reconcile those two issues is the hard problem.