Also CS, my interpretation of "what makes science work" is a little different and I would argue that - despite a lot of foundations and techniques being shared in research papers - this field more than any other is constraining the free circulation and application of knowledge.

The equivalent to those biomedical industry players are the big tech who develop closed source and push the edge in some area. They will publish but that does not mean you can replicate any of it.

Software is also fragmented, crippled by IP lawsuits, patent trolls and so on. This does inhibit ability of society to benefit from software since it depends on the private sector to sort things out. The PhDs go and build businesses to "make the science work" in that sense.

The ideal of detached pursuit of knowledge is not a complete fiction (despite the hyperbole), but it does remain an ideal that can only be approximated.