The legal ones do, absolutely.
> Or that the opioid crisis couldn't possibly have happened if the opioids had been generics?
"get an audience for our patent infringement suits so that we are feared as a tiger with claws, teeth and balls, and build some excitement with prescribers that OxyContin Tablets is the way to go." Richard Sackler in a 1996 email. I do not see OxyContin situations in a world with intellectual freedom, no. No government enforced monopoly profits, no massive incentive to overprescribe and lie. No copyright, and you get far more honest media, education, and healthcare industries.
> Who has an IP monopoly on alcohol production? Is alcohol addition a huge problem, or not?
Maybe it's far more of a problem that is generally known, but that truth is not made apparent because we don't have true freedom of the press b/c of copyright laws.
> Why do you believe tech monopolies rely specifically on patents
On patents and copyrights. If we were to declare tomorrow that search engines did not have to respect copyright law, we would see far better search engines than Google in a year or less.
> The reality is that patents are a relatively tiny element in cost of entry to markets.
Patents deter a huge number of startups from forming. Nearly every successful startup I know of gets targetted by patent trolls, and must decide to play that game and go along with the system. This is very discouraging to a huge number of innovators, especially in critical fields like chip design.
> It's honestly baffling why the anti-copyright crowd believes removing patents and copyright will be some kind of magic bus ride to utopia, when there is no rational reason whatsoever to believe that.
Not a magical bus ride to utopia, but a doubling to perhaps 10x increase in human productivity and equality, yes.