I mean the compassionate use thing on its own is not necessarily a bad thing. It’s a way to provide patients who are terminally ill with no other options the chance to try a drug that hasn’t been approved.

This use case in the other hand is bizarre and abnormal

I would argue that in a lot of cases compassionate use policies are a good thing. I have a distant relative who was part of the study of the use of lung surfactant for premature infants. It was so effective that they cut the testing short to roll it out nation wide and has saved thousands and thousands of lives.

I'm not saying I trust pharmaceutical companies to not be bastards the vast majority of the time, but sometimes they do the right thing.

In this case... What is good? Keep him alive at the cost of millions of lives? Make sure he's on placebo and dies?