> The easiest way to fix this is to have cost controls like every other 1st-world country in the world on drugs
Ignoring the incredibly loaded term "first world country", that's not true. Not all other "first-world" countries implement price controls on drugs.
Secondly, as explained below, the only reason that works for them is that the single largest consumer of patent-protected drugs (the US) does not, and thereby ends up subsidizing medical research for the rest of the world. (Half of all medical research in the world is funded by the US, and even many European pharmaceutical companies fund their research from the US).