If not for the government enforced artificial scarcity then many of those medicines wouldn't exist in the first place. Bringing a new drug to market costs >$1B now, largely due to clinical trials. No one is going to do that without patent protection.
Medical patents should come with compulsory licensing requirements. Nobody's saying that research houses shouldn't get paid, just that the monopoly needs to end.
This is especially true of patent medicines, where it's government enforced artificial scarcity.