The way that scientific publishing has evolved into a cartel-based business with insane barriers to entry has a lot of parallels to the healthcare industry in the US. The core problem with both is a disconnect between users and payers — in this case, readers vs. libraries.
What makes the whole situation bearable, in my opinion, is sci-hub. Nature or whoever can charge whatever prices they wish, it makes no difference to my point of access. Even during times when I have legitimate access, it’s still often simpler to just find a paper on sci-hub.
Thank goodness for pirates.