It does not — dumb people have the same access to the better drugs as smart people.

A eugenics-driven society where dumb people are left to die and smart people get extra health care likely would be effective at breeding children who are better at passing the “smart people” test, but I would not like to live in a society like that.

If you’re about to argue that having enough money to pay for health care correlates with intelligence… I would welcome some evidence. I used to think that was obvious but, having grown up and experienced the world some, the only thing I see that correlates with intelligence is depression.