If they're going to price the drugs so high in India that no one can afford them, what is India getting out of the deal? All property rights (but especially intellectual property rights) are essentially a trade between the government, and indirectly the people. For real property, the Government gets tax and increased economic activity (leading to more tax) in exchange for agreeing to arrest anyone who uses your property without your permission. For intellectual property, the trade is that citizens get to use new and useful things, and there is more economic activity, in exchange for the government agreeing to arrest anyone who copies your product without permission. If the citizens can't get the new and useful thing, why should the government stop anyone who copies it?