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Topics:Pharmaceutical Lobbying

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Pharmaceutical Lobbying, Pharmaceutical industry lobbying comprises one of the most powerful and high spending corporate lobby groups in the United States, spearheaded by the PhRMA industry group. Doctoral students were asked to take "Pro", "Con", and "In Between" positions regarding the usefulness and harm of Pharmaceutical Lobbying.

Team

  • Morrisson, D.
  • Williamson, L.

(authors and sources listed alphabetically)

Arguments

Pro arguments
  • Expertise
  • Benefit to society
  • Systemic Fairness
  • Private-Public Cooperation
Con arguments
  • The self-serving interest of lobbying tends to act over public interest, more specifically regarding public health.
  • Lobbyists can present incomplete or skewed data that might misrepresent the potential & effectiveness of a treatment sector.
  • Lobbyists can aid in raising campaign contributions which may drive legislators to act against the interests of their constituents.
  • Historical lobbying has resulted in high drug pricing in the U.S. to support the bulk of pharmaceutical R&D costs for companies worldwide.

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Discussion Summary

Pharmaceutical industry lobbying comprises one of the most powerful and high
spending corporate lobby groups in the United States, spearheaded by the PhRMA
industry group. Proponents of PhRMA and corporate lobbying argue that PhRMA
provides expertise to congress, who by and large do not have a competent enough
understanding of the pharmaceutical industry to make political decisions that help the
industry. However, anti-lobbyists argue that pharmaceutical lobbying practices have an
inherent self-preserving interest given most groups have direct ties to the profit-driven
industry, and that PhRMA donations to political campaigns create an inherent conflict of
interest for those politicians. While they do provide expertise for ongoing research, their
profit-driven biases can result in presenting incomplete findings on treatments,
promoting high drug prices, and relaxing drug testing & distribution standards. The issue
is hotly debated in the United States and is often a part of broader conversations about
lobbying in general, which became substantially more polarized following the citizens
united supreme court case that made it easier for companies, unions, and non-profits to
spend more on political campaigns with less oversight.

Arguments For

  1. Expertise
    Congress has repeatedly passed bills that do substantial harm to the American pharmaceutical industry, with negative ramifications for pharmaceutical
workers, consumers, and the country as a whole. Allowing PhRMA to lobby
congress gives them a direct line to convince them to make better decisions for
the country and for every stakeholder in the pharmaceutical industry.
Ethical framing: Utilitarian

  2. Benefit to society
    While arguments about profiteering are valid, the pharma
industry ultimately works to save lives and improve quality of life for tens of
millions of Americans. The goals of the pharma industry are goals that all
Americans should share, and allowing them to lobby congress helps them
achieve an ethically sound goal as long as regulation exists to ensure that
profiteering isn’t the primary goal of the lobbyists.
Ethical framing: Deontological (rooted in social contract)

  3. Systemic Fairness
    While there are issues with pharmaceutical lobbying that
could be regulated better, it would be unfair to specifically target pharmaceutical
industry, who’s goals and function contribute to improving the health and well-
being of everybody who needs healthcare, while ignoring other corporate
lobbying groups. Zooming out even further, specifically arguing against corporate
lobby groups while ignoring other lobby groups like nonprofits, unions, policy
thinktanks, and international groups unnecessarily targets companies.
Ethical framing: Deontological (fairness based)
(4) Private-Public Cooperation – Allowing pharmaceutical companies to lobby
congress and federal agencies helps streamline the process of private-public
collaboration in pharmaceutical and related healthcare applications. Private-
public collaboration has produced societal projects with the greatest impact on
improving qualify of life in America, and hindering corporate lobbying is a move in
the wrong direction for creating more of these projects.
Ethical framing: Both utilitarian and deontological (duty/social contract)

Arguments Against

Lobbying practices have an inherent self-preserving interest given most groups have
direct ties to the profit-driven industry. While they provide expertise for ongoing research,
their profit-driven biases can result in presenting incomplete findings on treatments,
promoting high drug prices, and relaxing drug testing & distribution standards. This self-
serving behavior can be demonstrated by the staggering amounts invested in campaign
contributions and continually climbing U.S. drug prices.

  1. The self-serving interest of lobbying tends to act over public interest, more
specifically regarding public health.
Pharmaceutical lobbying has an inherent profit-driven interest that conflicts with the
needs of the public. Given their clear ties to industry funding, they cannot claim to fuel
progress that solely benefits the consumer.

  2. Lobbyists can present incomplete or skewed data that might misrepresent the
potential & effectiveness of a treatment sector.
One argument for lobbying is the specific expertise and interpretations they can provide
for ongoing pharmaceutical research. While they might have a deeper understanding of
innovations compared to the average legislator, they are motivated to present the best
possible interpretation while minimizing risks to the consumers. Their biases can
misrepresent the potential for a treatment and result in wasteful spending from tax
dollars allocated to fund this research.

  3. Lobbyists can aid in raising campaign contributions which may drive
legislators to act against the interests of their constituents.
While lobbying cannot directly funnel funding to politicians, there are clear workarounds
in U.S. funding laws via PACs that are commonly exploited to provide campaign
contributions. The favors levied from these contributions can spark uncertainty on
whether legislators are working in the interests of their constituents when overseeing
drug pricing reforms and relations of drug development & distribution standards.

  4. Historical lobbying has resulted in high drug pricing in the U.S. to support the
bulk of pharmaceutical R&D costs for companies worldwide.
Despite what defenders of pharmaceutical lobbyists will argue, the state of drug pricing
in the United States is a prime example of how lobbying has benefitted the companies
at the cost of the consumer. As it stands, the United States is the only major country
without strict caps on drug pricing which means the bulk of R&D costs of
pharmaceutical companies is mostly supported by the exorbitantly high drug prices
which restricts treatment accessibility as a clear detriment to public health.

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