> For modern medicine, we're only just starting to come out of the wild west era. Or perhaps slightly further along than that.

Why do you say that? What's the evidence? We continue to have virtually no clue how to make drugs, per TFA.

Targeted gene therapy, cancer survival rates, trauma care, the advancements in hip and knee replacement, all sorts of surgery, HIV is now a non-issue with the right care. The list goes on.

Drug development is a hard problem because the solution space is poorly constrained: biochemistry is complex and messy, expecting one chemical substance to have narrow positive effects is probably hopeless.