The dominance of big pharma: power
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The purpose of this paper is to provide a normative model for the assessment of the exercise of power by Big Pharma. By drawing on the work of Steven Lukes, it will be argued that while Big Pharma is overtly highly regulated, so that its power is indeed restricted in the interests of patients and the general public, the industry is still able to exercise what Lukes describes as a third dimension of power. This entails concealing the conflicts of interest and grievances that Big Pharma may have with the health care system, physicians and patients, crucially through rhetorical engagements with Patient Advocacy Groups that seek to shape public opinion, and also by marginalising certain groups, excluding them from debates over health care resource allocation. Three issues will be examined: the construction of a conception of the patient as expert patient or consumer; the phenomenon of disease mongering; the suppression or distortion of debates over resource allocation.
KeywordsConsumerism Expert patient Habermas Lukes Patient advocacy groups
- Batt, S. 2005. Marching to different drummers: Health advocacy groups in Canada and funding from the pharmaceutical industry, Toronto, ON: Women and Health Protection (http://www.whp-apsf.ca/pdf/corpFunding.pdf. Accessed 30th Sept 2010).
- Berenson, A. 2008. Drug approval. Is disease real?’ New York times, 14th January, 2008, (available through http://www.nytimes.com/. Accessed 30th Sept 2010).
- Elliot, C. 2001. Six problems with pharma-funded bioethics. Studies in History and Philosophy of Biological and Biomedical Sciences 23: 125–129.Google Scholar
- Habermas, J. 1976. Theory and practice. Boston MA: Beacon Press.Google Scholar
- Habermas, J. 1996. Between facts and norms: Contributions to a discourse theory of law and democracy. Cambridge, MA: Polity Press.Google Scholar
- Habermas, J. 2001. On the pragmatics of social interaction. Cambridge, MA: MIT Press.Google Scholar
- InterPeres. 2004. Rethinking development: Promoting global justice into the 21st century. Ottowa, ON: InterPares.Google Scholar
- Lukes, S. 2005. Power: A radical view, 2nd ed. London: Palgrave Macmillan.Google Scholar
- Marx, K., and Engels, F. 1976. The communist manifesto. In Their collected works, vol. 6, (1845–1848). London: Lawrence and Wishart.Google Scholar
- Moyhihan, R., and D. Henry. 2006. The fight against disease mongering: Generating knowledge for action. PLoS Medicine 3(4): 425–428.Google Scholar
- Weber, M. 1991. Politics as a vocation. In From Max Weber: Essays in sociology, ed. H.H. Gerth, and C. Wright Mills, 77–128. London: Routledge.Google Scholar
- Wiggins, D. 2002. Needs, values, truth: Essays in the philosophy of value, 2nd ed. Oxford: Oxford University Press.Google Scholar