The word "patent" always sounds better than "guaranteed monopoly", yet there is no fundamental difference. With respect to drug patents, I think the French system has a good system:<p>- Option 1: you sell the drug at whatever market price you want but no patent will be granted and anyone is free to copy the drug.<p>- Option 2: you receive a patent protection for you drug but you must defend the price at which you want to sell in a bargaining round with the government. In essence, it's a compromise where you as a drug manufacturer can recoup your costs, and where the people don't overly get taken advantage of in life-or-death situations.<p>Disclaimer: my Dad worked in a major French pharma company.