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The libertarian position is very theoretical . . . a big departure from our current reality. Maybe an infeasible one. And I'm sure that I'm not the best articulator of it.
Relying on charity isn't a great solution . . . it won't fix everything. The primary benefit of relying on charity, in my mind, is that charity is provided voluntarily.
I don't think doctors would have to research every drug . . . private regulatory groups would form and lend their approval to drugs that survive peer review. You could counter that private regulatory groups gave Lehman Brothers a good rating, and that's a fair rejoinder. I guess, in response, I'd just argue that private companies and the government are both infallible, but that there's only one government, and that there would be multiple private review agencies that would spring up, and that bad ones would go bust, while good ones would stick around.