Why Drug Prices Are So High: Inside Big Pharma

October 11, 2024

The pharmaceutical industry, often referred to as "Big Pharma," has become a vital component of modern healthcare, bringing lifesaving medications to millions. Yet, beneath this facade of benevolence, the industry has been plagued by corruption, prioritizing profit over public health. While new treatments and drugs are essential for combating diseases and improving patient outcomes, Big Pharma's influence over clinical research, drug pricing, and government regulations raises serious ethical concerns.

At the issue's core is a conflict of interest: pharmaceutical companies exist to maximize profits for shareholders, yet their primary role should be improving health outcomes. This inherent tension has led to widespread unethical practices, from skewed clinical trials to inflated drug prices, to serve corporate interests at the expense of patients' well-being.

Manipulating Clinical Trials for Profit

One of Big Pharma's most alarming aspects is its control over clinical trials, the cornerstone of medical research. In many cases, pharmaceutical companies fund clinical studies designed to produce favorable product results. This industry funding creates a bias that skews outcomes, making treatments appear more effective than they truly are.

Studies have consistently shown that industry-funded trials are more likely to yield positive results than those funded by independent or government sources. As a result, doctors are often left prescribing medications based on incomplete or misleading data, endangering patient safety. One key way companies achieve this is by selectively publishing favorable results while suppressing negative ones, a practice known as "publication bias." This distorts the medical literature and undermines the trust doctors and patients place in the healthcare system.

The Role of the FDA: Gatekeeper or Co-Conspirator?

The Food and Drug Administration (FDA) is supposed to serve as the gatekeeper, ensuring that new drugs are safe and effective before they reach the market. However, the relationship between the FDA and pharmaceutical companies has become increasingly blurred. Companies often employ aggressive lobbying tactics and revolving-door employment strategies, wherein individuals move between roles in Big Pharma and regulatory agencies, creating conflicts of interest.

One high-profile example is the approval of Biogen’s Alzheimer’s drug, Aduhelm, despite an independent panel advising against it due to insufficient evidence of its effectiveness. The FDA's approval, in this case, sparked outrage and raised questions about the agency's integrity. Such cases erode public trust in the FDA, suggesting that regulatory bodies may prioritize corporate interests over patient safety.

Price Gouging: The Ethical Failure of Drug Pricing

Drug pricing in the United States is another area where Big Pharma's unethical practices are evident. Unlike many other developed countries, the U.S. lacks strict regulations on drug prices, allowing pharmaceutical companies to charge exorbitant rates for medications. This has led to price gouging, where patients are forced to choose between affording their medications or necessities.

The story of insulin is a poignant example. Once hailed as a life-saving breakthrough for diabetes patients, the price of insulin has skyrocketed in the U.S. despite its production cost remaining low. With three major companies—Eli Lilly, Sanofi, and Novo Nordisk—controlling the global insulin market, these corporations have capitalized on their monopoly to raise prices dramatically, putting the drug out of reach for many low-income patients. The consequences are devastating: patients resort to rationing their medication, often with fatal outcomes.

Bribery and Kickbacks: A System Built on Corruption

Pharmaceutical companies have not only manipulated clinical trials and exploited drug pricing but have also engaged in outright bribery and kickbacks to push their products. Novartis, for example, faced a massive settlement for engaging in schemes to bribe doctors to prescribe its drugs, including the COVID-19 treatment Remdesivir. In this case, doctors were rewarded with lavish "speaker fees" and expensive meals in exchange for promoting Novartis products, regardless of their medical appropriateness.

Similarly, AstraZeneca’s heart medication, Brilinta, was approved despite serious safety concerns after key panelists who approved the drug were compensated with lucrative consulting and travel fees. These bribes, common in the industry, ensure that certain drugs get FDA approval, allowing companies to rake in billions in profits while patient safety is compromised.

Lobbying Power: Big Pharma's Influence on Policy

Big Pharma’s influence extends far beyond the clinic, reaching the highest levels of government through lobbying. Over the last decade, the pharmaceutical industry has spent over $2 billion on lobbying efforts, more than any other industry. This has allowed them to shape healthcare policy in ways that protect their profits, often at the expense of public health.

One example is legislation's failure to allow Americans to purchase cheaper prescription drugs from Canada. Despite public support for the measure, lobbying efforts from the pharmaceutical industry succeeded in defeating the bill. As a result, Americans continue to pay far more for medications than patients in other countries, further deepening the healthcare crisis.

A Movement for Better Health

At GoldCare, we understand the urgent need for transparency and trust in healthcare, especially when it comes to treatments and medications. That's why we're committed to providing our community with access to both traditional and alternative approaches, ensuring that our members have the information they need to make smart decisions for their health. Be part of a movement toward healthcare that prioritizes well-being over profit. Join us in finding solutions that truly put your health first. Click here to become a member.

References:

  • "Big Pharma Corrupted Medicine—I Don’t Trust the Science Anymore." Available at: Maryanne Demasi's Blog.
  • "Big Pharma Is Hiding Clinical Data From Doctors." Available at: Time Magazine.

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