I believe your theory can also be classified as "insightful." What you just said probably is about "the truth, the whole truth, and nothing but the truth."
But let's examine what you said about needing one collective entity to make a difference. Quoting you, "Pharma has absolutely no accountability to anyone other than shareholders, I guess." Although this statement is most likely true, there is a force to be reckoned with far more powerful, by virtue of sheer numbers alone - and that would be the patient population.
The PD community could "collectively" refuse to buy this excuse (AND the alternative treatment offered). So start stocking up on Brand X everybody.
Peg