Big Pharma conspiracy theories

According to Steven Novella the term Big Pharma has come to connote a demonized form of the pharmaceutical industry.[5] Professor of writing Robert Blaskiewicz has written that conspiracy theorists use the term Big Pharma as "shorthand for an abstract entity comprising corporations, regulators, NGOs, politicians, and often physicians, all with a finger in the trillion-dollar prescription pharmaceutical pie".[1]

According to Blaskiewicz, the Big Pharma conspiracy theory has four classic traits: first, the assumption that the conspiracy is perpetrated by a small malevolent cabal; secondly, the belief that the public at large is ignorant of the truth; thirdly, that its believers treat lack of evidence as evidence; and finally, that the arguments deployed in support of the theory are irrational, misconceived, or otherwise mistaken.[1]

In the 1970s and 1980s, the conspiracy theory was promoted by Ann Wigmore who held that diseases, including cancer and HIV/AIDS, could be effectively treated with a raw food diet. In this context, Wigmore believed that the pharmaceutical industry was part of a conspiracy to keep the population at large ill.[10]

André Picard wrote in 2009 that the internet had radically changed the nature of popular scientific discourse from being infrequent and deferential to widespread and conspiracy based: scientific debate was often supplanted by dismissal of science as being "part of some vast conspiracy". In the conspiracist world view, "Doctors, nurses, pharmacists, pharmacologists, biochemists, immunologists, geneticists and journalists are not to be trusted. They are all on the take".[11]

Research in Italy in 2016 found that nearly half the adult population subscribed to a Big Pharma conspiracy theory (that pharmaceutical companies were hiding a cure for neurodegenerative diseases), but that such beliefs were negatively correlated to mainstream religion while having anti-science and anti-elitism bases.[2]

The conspiracy theory has a variety of different specific manifestations. Each has different narratives, but they always cast "Big Pharma" as the villain of the piece.[1]

A common claim among proponents of the conspiracy theory is that pharmaceutical companies suppress negative research about their drugs by financially pressuring researchers and journals. Skeptic Benjamin Radford, while conceding there is "certainly a grain of truth" to these claims, notes that there are in fact papers critical of specific drugs published in top journals on a regular basis.[3] A prominent example noted by Radford is a systematic review published in the British Medical Journal showing that paracetamol is ineffective for lower back pain and has minimal effectiveness for osteoarthritis.[3][44]

In his 2012 book Bad Pharma, Ben Goldacre heavily criticises the pharmaceutical industry but rejects any conspiracy theories. He argues that the problems are "perpetrated by ordinary people, but many of them may not even know what they've done".[4]

Steven Novella writes that while the pharmaceutical industry has a number of aspects which justly deserve criticism, the "demonization" of it is both cynical and intellectually lazy.[5] He goes on to consider that overblown attacks on "Big Pharma" actually let the pharmaceutical industry "off the hook" since they distract from and tarnish more considered criticisms.[5] He has also written, on Skepticblog, about the general misunderstanding and sensationalizing of cancer research that typically accompanies a conspiratorial mindset. He points out that cures for cancer, rather than being hidden, are not the cures they are initially touted to be by the media and either result in a dead end, further research goals, or a decrease in the mortality rate for a specific type of cancer.[6]

Dave Roos and Oliver Childs have criticized the idea that holding back a cure for cancer would result in more profit than presenting one.[7][8] Dina Fine Maron further notes that this view largely ignores the fact that cancer is not a single disease but instead many, and the fact that large strides have been made in the fight against cancer.[9]

In 2016, David Robert Grimes published a research paper elaborating about the mathematical non-viability of conspiracy theories in general.[45] He estimated that if there were a big pharma conspiracy to conceal a cure for cancer, it would be exposed after about 3.2 years due to the sheer number of people required to keep it secret.[46]

• Bad Pharma, a 2012 book by British physician and academic Ben Goldacre
• Big Pharma, a 2006 book by British journalist Jacky Law
• Evil corporation
• Homeopathy
• List of conspiracy theories
• List of topics characterized as pseudoscience
• Pharmaceutical lobby
• Sicko, a 2007 American documentary film made by Michael Moore
• Vaccine controversies