The Truth about Pharmaceutical Companies


 

Richard Tran

24 tháng 01 năm 2008

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In 2002, a female Indian doctor, Dr. Indrani Sarkur and her team released a PhD thesis which explained an enzyme that they had engineered which recognizes and destroys the HIV virus which plagues more than half the world.  One would assume that such important news that is beneficial to millions around the world would be all over billboards and the news.  Unfortunately, this is not what happened.  Most people probably didn’t even know such an enzyme existed or had ever heard of Dr. Sarkur before reading this paper.  One might ponder why news of such importance is not well known.   This is a good example of the corruption that is continuing to develop in pharmaceutical companies.  Pharmaceutical companies have been long criticized for not following ethics and instead are putting profits before people.  Every year millions of people die from common diseases and illness that could be easily treated with inexpensive existing treatments and medicines.  The corruption lies within all the profit seeking pharmaceutical companies that devise plans anchored towards yielding the most profit rather than benefiting the people.  The problem of these pharmaceutical companies can be broken down and examined at three levels: research, development, and the distribution of their drugs.

            Innovation is a word that no longer coincides with the pharmaceutical industry with respect to the way it carries out the research and development of drugs.  Research and development tend to go hand in hand.   The reality is that from the billions of dollars these companies make each year a very small percentage of it goes towards research and development of new drugs.  In recent years there have only been a small portion of truly new drugs developed and they were mainly created from taxpayer-funded research and academic institutions, small companies, or the National Institutes of Health (Angell).  In other words, the bulk of important drugs were created through means outside of the pharmaceutical giants.  The pharmaceutical companies have their own ideology for manufacturing drugs.  They take established drugs and produce a variation of it and remarket it for profit.  These type of drugs are called “me too” drugs for the literal meaning (Angell).  There are more than one good example of these “me too” drugs.  How often do you see a commercial for an anti-depressant medication on T.V?  We currently have about 6 different drugs that serve the same purpose of suppressing symptoms of depression.  To name a few, Zoloft and Prozac are among the most popular.  This method of bringing drugs to the market is very profitable because the idea is if they can modify a molecule here and there and still have it do the same thing they can remarket it as a “new” drug.  This method exploits the patent system.  For each drug they can put a patent on it which gives them sole ownership of the drug for 20 years.  This means that no other companies can create any generic versions of it and sell it for cheaper enabling them to control the market. 

In addition to the lack of innovation in research and development, the research of these pharmaceutical companies has also been criticized as being fraudulent (Gumm).  It has been argued that not only has the money not been used properly for development of innovative drugs but also it has also not been used to properly conduct research for the treatment of the AIDS virus ("'Dangerously Flawed' AIDS Research Criticized”).  A good example of this is a case in the late 1980’s when pharmaceutical companies would refuse to release research data to a congressional committee of the Intergovernmental Relations and Human Resources.  A representative of the committee went to one of the companies and attempted to use the committee’s right to review the company’s activity (Pear).  The representative was however denied access and said, “the employees would be instructed to not answer questions about budget requests and research plans being developed.”  This leads into the idea that rather than finding a specific cure for AIDS the companies are working towards “me too” medicines that help subdue the symptoms rather than get rid of the virus entirely (Gumm).  Referring back to the case of Indrani Sarkur the Indian doctor who developed a potential cure, there is a good reason why news of such a cure is not popularized.  This is not the only case where this has happened.  Many times a new “breakthrough” treatment might be developed and published on a few news sites and some scientific journals but never goes worldwide or breaks headlines.  And within a few weeks you never really hear about it again.  Controversy boils around the idea that these companies would rather have diseases and illnesses such as AIDS and cancer exist than not.  The most radical of the lot goes as far as to criticize the pharmaceutical companies and claim there probably could have been cures developed by now if it weren’t for the censorship by the pharmaceutical companies.  Looking at the details, one can see that there are many incentives out there for the pharmaceutical companies to commit such unethical acts.  Consider how much money these companies yield annually supplying drugs that suppress or manage diseases such as HIV/AIDS and cancer (Pear).  Then consider the percentage of money they would lose if that disease was wiped out and cured.  The sad fact is that as long as they virus is out there these companies continue to rack up billions each year by aiding the symptoms.  This can be applied to almost any disease that currently exists.

Fraudulent research leads to poorly developed drugs, which then combined with the method of cutting corners practiced by the pharmaceutical companies is a recipe for fatality, which has been the case in the past decade.  Pharmaceutical drugs have become one of the leading causes of death in developing countries earning its way up there with a multitude of diseases.  It is quite ironic how the drugs that are supposed to prevent and aid in treatment is now becoming a leading cause of death rather than doing any good.  This is not isolated to just developing nations.  It is also present in the United States.  In 1978 about 1.5 million Americans were hospitalized because of drugs given to “cure” them.  In the 1990’s there were about 180,000 medically induced deaths each year in the United States ("Why Do Pharmaceutical Drugs Injure and Kill”).  These numbers represent only a small portion of the other larger portion of administrative related damages that are kept hidden or not reported.  The underlying reason for such fatalities is the testing and approval drugs being developed.  Clinical trials are a good example of how fraud is committed.  Pharmaceutical companies pay researchers to produce their desired results that push toward acceptance of the new drug.  Evidence shows that researchers are paid up to $1,000 dollars to paid per subject enabling some researchers to earn up to $1,000,000 a year aiding drugs to get passed ("Why Do Pharmaceutical Drugs Injure and Kill”).  Paying researchers is a costly bargain, which brings in the idea of animal testing.  Animal testing in its own regard has a lot of ethical problems but putting that aside, animal testing does not provide a solid basis for showing a drug is safe for human use.  A lot of times when animals are used in research, they are perfectly healthy so in order to test a drug that is specifically designed to cure a problem in humans, researchers must artificially create the problem in the animal.  This is not at all related to how humans spontaneously develop illnesses through lifestyle and other factors such as the environment.  A good example of this is osteoarthritis a human disease in which there is a gradual development of joint deformity.  To get this to develop in animals, researchers must resort to cruel and unethical methods such as beating them with hammers, injecting them with irritating liquids, radiation, induced dislocation, the list goes on and this only touches the surface of the ethical concerns of using animals in research ("Why Do Pharmaceutical Drugs Injure and Kill”).  One can see that the forced problems in the animals are not in anyway in correlation to the human osteoarthritis and so testing these drugs on these animals will not really yield any relevant evidence in favor of the drug.  What people must understand that humans and animals are two completely different species with very little in common.  We react differently to certain things than animals do and vice versa.  Take for example dogs and humans.  Humans can relatively speaking eat pounds of chocolate if they wanted to in a day and not suffer anything more than obesity in the long run.  However a small amount of chocolate to a dog is toxic and can be lethal.  The same goes for onions that of which is healthy for us but for dogs and cats are lethal because of an ingredient that is poisonous to them.  Some animals produce vitamin C naturally and don’t need any intake of it but deprive a human of vitamin C for a while and we can die from it (Day).  These huge biological differences amongst humans and animals alone can make it evident to even the most common person that animal testing isn’t viable.  Researchers from drug companies will use animal testing to get approval for drugs and claim that since it had years of testing and showed effectiveness in animals it will be good for humans ("Why Do Pharmaceutical Drugs Injure and Kill”).  The sad truth to this is that it works and it gets their drugs approved but at the cost of thousands of lives every year as we clearly saw earlier.

Corruption too lies outside of the research and development of pharmaceutical companies.  Once drugs are released we can see that still pharmaceutical companies are continuing to attempt to make the most profit from it.  One of the ways they do this is by cutting the source of the drug.  As we explained earlier, these companies are not being innovative and instead they are creating “me too” drugs.  One of the sole purposes of this is because each new drug they create they can earn a patent on it which lasts 20 years.  This patent enables them to own all rights to the drug so that there won’t be any generic versions of it created.  This in turn enables them to control the market for that particular drug.  Since no one can create generic versions of it people can only get it from them which means prices are controlled by them and they can inflate it however they want. A good example is the well-known allergy drug, Claritin.  Before its patent ran out, the company increased its price a staggering 14 time over the course of the last 5 years before its patent ran out.  This was a cumulative increase of more than 50 percent, which is more than 4 times the rate of inflation in the United States (Angell).  Pharmaceutical companies claim that this inflation is normal and the money is reused in research and development for new drugs.  The truth behind this is that the research and development is a relatively small section of the budget for these companies and the budget is even smaller when you factor in the billions that these companies make annually.  The prices these companies charge have very little correlation to the costs of the actual manufacturing of the drugs.  Prices could be cut more than 50% which would make it more affordable to a larger population of people who need it and still not come anywhere near cutting into their budget or better yet their profit. 

The patent system itself is flawed because this allows these pharmaceutical companies to make minor adjustments to a drug and earn another 20 years worth of sole propriety.  The companies know this and exploit it to the fullest extent.  This brings harm to a lot of developing countries because they cannot afford the premium price the companies are charging for the medicines and because of the patents they cannot develop generic versions that would be a lot cheaper and could save thousands of lives (Angell).  It has become so bad that thousands die each year from common illnesses that have inexpensive treatments available but they don’t get it because they cannot afford it.  Imagine how many lives could be saved a year if these countries were allowed to create generic versions of these drugs.  Because of the methods these pharmaceutical companies use to market and distribute their drugs thousands to millions die annually and for no better reason than more profit for the companies themselves.  Ironically these companies not only have money but they have also obtained a lot of political power.  The U.S government fully supports the patents that these companies put on their drugs.  If a country attempted to create generic versions of a patented drug, the U.S asserts trade sanctions on them.

The distribution of drugs is carefully reviewed to make sure the most profit is being made.   Pharmaceutical companies have been known to refuse to distribute drugs that would save lives because it either yielded low or no profit for them.  A good example of this was a drug called Eflornithine, which was developed to defend against African sleeping sickness, which claims thousands of lives every year (Angell).  The company that produced it suddenly stopped production claiming “commercial failure” without any further comment.  The company was not interested in marketing the drug in a third world country such as Africa, which in this case is where it was needed most.  This is because it yielded them low profits.  Pharmaceutical companies use very selective marketing, a drug like Eflornithine, which saves lives but is only good for curing African sleeping sickness, which is only needed for a relatively small portion of the world population, will be cut.  However a drug like Vaniqa, a drug produced by the same company only a few months later that stopped unwanted facial hair in women was marketed and distributed everywhere.  Ironically it was even distributed in Africa (Angell).  Africa is a developing country with more illnesses and diseases than a person would bother to count.  How likely is it they are worried about unwanted facial hair rather than surviving to see the next sunrise?  It is very unlikely however, being a cosmetic drug, it appealed to the world population and that is what sells and in turn was the reason why it was widely distributed.  It is sad that a pharmaceutical company would be more likely to put out more than double the effort to market a drug solely made for aesthetic reasons rather than a drug developed to save thousands of lives but this is the reality of how deep the corruption is in our pharmaceutical companies.

The corruption of distribution in these pharmaceutical companies ranges further than just the drugs themselves.  These companies indirectly distribute and expand diseases.  This is a highly controversial statement and indeed would not be put forth without strong hard evidence.  There is evidence however, and a lot of it.  So much that pharmaceutical companies have been put forth and accused of genocide before the ICC, the International Crimes Court.  Yes, it is the same court that has trials for war crimes committed by terrorists, the likes of Saddam Hussein.  What are they charged for that is on such a scale that can be regarded as genocide?  They have designed and constructed a system of business that essentially is built upon fraud (“Pharmaceutical Corporations Accused of Genocide Before ICC in the Hague”).  Pharmaceutical companies create drugs that treat symptoms but do not cure the underlying reason the problem in there in the first place.  It would be different if the problem were something that we do not have a treatment for or something that we do not know very much about but this is not the case for a lot of diseases.  A good example of this is coronary heart disease, which is the structural weakening, and loss of function in artery walls due to deficiencies of vitamins and nutrients (“Why Do Pharmaceutical Drugs Injure and Kill”).  Pharmaceutical companies when developing drugs for this disease completely act oblivious to this cause of the disease and focus on the symptoms like high cholesterol.  Because they avoid curing the disease and just remove its symptoms, the long-term side effect is that the disease leads to other diseases (“Pharmaceutical Corporations Accused of Genocide before ICC in the Hague”).  In a way you can argue that because of the pharmaceutical companies’ negligence, they indirectly cause the death of millions of people every year.  In addition to that, those new diseases that occur from either the side effects of long term use of a drug or from the avoidance of curing the initial disease leads to new drug markets and thereby more money.  This is one of the pieces of evidence pertaining to how pharmaceutical companies contribute to the distribution of diseases which in turn leads to the loss of millions of lives.  A lot of these drugs administered to relieve symptoms in turn lead to more serious diseases and sometimes can be the underlying cause for a lot of deaths.  To give a few examples, cholesterol-lowering drugs are advertised to prevent heat disease but it has been known to induce cancer at doses that are currently given to people around the world.  Aspirin, a drug now mass marketed as a mechanism to prevent heart attacks and strokes.  Most people can recall that in recent years you hear that “one aspirin a day will lower your chances of heart attacks and strokes,” however, long term use of aspirin as been known to destroy collagen which in turn increases the risk of heart attacks and strokes and a multitude of other diseases such as stomach ulcers and gastrointestinal bleeding.  These are the things that the people aren’t told and aren’t aware of.  All these examples support the idea that these pharmaceutical companies indirectly commit the crime of killing millions of people every year.  This is all done for the sole purpose of yielding the largest profit margins. 

The pharmaceutical industry started off as a very innovative machine determined to save lives and progress toward the common good but has ended up as a marketing mastermind funneling money in from whatever ends it can disregarding the well being of the people.  In a few decades it has seemingly evolved into a corrupt and power hungry entity that in a sense has broken all bounds.  There is no checks and balance with the pharmaceutical industry.  The corruptions within the pharmaceutical companies seem to have a domino effect as one corruption leads to more corruption.  Poor research methods that lack innovations do nothing more than give rise to development of drugs that lack effectiveness in curing diseases.  Development of drugs based off poor research then leads unethical and fraudulent methods of testing them so that they can be approved for release.  And from there marketing schemes devised towards yielding the profit cripples the ability to do what the purpose of the drugs should be and that is to help people and save lives.  Profit devised marketing plans distribute these drugs that in a sense put a cloak over diseases by curing symptoms but not the underlying cause.  This then gives two possible scenario, either a new disease develops because of the lack of treatment of the disease in the first place or the prolonged use of the drug causes a side effect that opens the door for new diseases.  Either way, the pharmaceutical companies will profit from it and that in the end all that matters is well, profit.

 

                                                                                                                      Richard Tran

Works Cited

Angell, Marcia. "The Truth About Drug Companies." The New York Review of Books. 15 July 2005. 27 Nov. 2007

 <http://www.nybooks.com/articles/17244>. 

"'Dangerously Flawed' AIDS Research Criticized." CNN. 22 Apr. 1997. 28 Nov. 2007 <http://www.cnn.com/HEALTH/9704/22/aids.experiments/>. 

Day, Cam. "Human Foods That Poison Pets." Petalia. 28 Nov. 2007

<http://www.petalia.com.au/templates/storytemplate_process.cfm?story_no=257>

Gumm, Brian. "Industry Challenges Impede Cancer Research and Information." OMB Watch. 28 Aug. 2007. 27 Nov. 2007 <http://www.ombwatch.org/article/articleview/3964/1/192?TopicID=5>. 

Pear, Robert. "House Panel in Dispute Over AIDS Research Data." The New York Times.

5 June 1983. 1 Dec. 2007

<http://query.nytimes.com/gst/fullpage.html

res=9C06E5DC173BF936A35755C0A965948260&sec=health&spon=&pagewanted=all>. 

"Pharmaceutical Corporations Accused of Genocide Before ICC in the Hague." New Media Explorer. 14 June 2003. 27 Nov. 2007 <http://www.newmediaexplorer.org/sepp/2003/06/23/

pharmaceutical_corporations_accused_of_genocide_before_icc_in_the_hague.htm>. 

"Why Do Pharmaceutical Drugs Injure and Kill." New Media Explorer. 4 June 2003. 28 Nov. 2007 <http://www.newmediaexplorer.org/sepp/2003/06/04

/why_do_pharmaceutical_drugs_injure_and_kill.htm>. 

 

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