Generic Insulin is already cheap, around $100. It is the newer more effective versions that pharma companies have come up with recently that are more expensive.

One can't argue that the pharma companies are bringing no value, and then demand their specific product because the generic isn't good enough.

https://www.snopes.com/fact-check/insulin-walmart-vial/

One can argue they’re attempting to capture more value than the social contract intended, and that contract will be updated through legislative action.

We reserve the right as a society to update the social contract at any time.

I never signed a social contract. Can you point me to the text? I'd like to read it, since apparently it keeps requiring me to relinquish my rights.

Google for your local, state, and federal law. Your continued presence in the jurisdiction indicates your acceptance of the implicit contract defined by these laws.

If it doesn’t vibe with your beliefs (which is fair!), there are other jurisdictions available for consideration, a visa and plane ticket away.

The laws are not the contract. I already moved where I did because I liked the laws. But the damned things keep changing because of this social contract. If the laws were the social contract, your parent comment wouldn't make sense either. Not liking the laws is one thing. Justifying new ones because of this pretend contract is another.

I’m not sure what to say if you’re not happy that democracy isn’t static. The only thing in the world that is constant is change.

You call it “pretend”, but the results you take issue with appear to be very real.

That's one of my complaints about democracy. Something doesn't have to be real for people to vote like it's real. There's no contract that says anybody owes anyone anything else at a specific price.

The inventor gave the patent away for $1 because it would have been unethical to profit from it. That’s still true.

There are different generations of insulin; the old ones are cheap, the latest ones are not. I would like to see every inventor give the patents away for free, it would be great in a way, I just don't know who will invent anything new because these days the marginal cost of improving products is astronomical. For example, building a log cabin 200 years ago was tiny, both in cost of raw materials and work. Now the cost of a house is huge, not only because different materials are used, more complex manufacturing processes are needed, but who wants to live in a log cabin? Same comparison with insulin, there is cheap insulin and expensive insulin, people want the expensive one to be cheap. Not always possible.