At least re: online pharmacy, that's patently false. Coming from someone who currently runs a legitimate online pharmacy, there is a 9-12 month accreditation process (VIPPS) that adwords, etc requires before letting you advertise.
That's presumably because Google doesn't want to be fined another $500 million for having their AdWords sales reps give their pharmacy customers advice on how to avoid Google's pharmacy compliance rules.
That would depend on whether Google is ever actually expected to PAY $500 million and whether they earned more than $500 million by breaking the law to begin with. If they made $501 million off of it, all the government has done is guarantee that is the new standard for business conduct. And usually companies that get hit with $500 million fines get that reduced to $100k or so on appeal.
