Because medicine shouldn’t become a flea market where you’re gambling your health against profit maximization.
Give pharmaceutical companies a fair price scale where they can profit, don’t let them hyperinflate prices without justification.
It’s not the same if Apple prices their phones at 20,000 USD and you decide you’re buying other brand, pharma plays these extortion games after they have captured enough market/regulation so most people have to pay or stay sick.
It will be likely installed even if disabled, so your eventual malware attacker can enable it and live off the land instead of installing a key/screen that your antivirus might catch.