Big Pharma conspiracy theories are

conspiracy theories A conspiracy theory is an explanation for an event or situation that invokes a conspiracy by sinister and powerful groups, often political in motivation, when other explanations are more probable.Additional sources: * * * * The term has a nega ...

which claim that the medical community in general and

pharmaceutical companies The pharmaceutical industry discovers, develops, produces, and markets drugs or pharmaceutical drugs for use as medications to be administered to patients (or self-administered), with the aim to cure them, vaccinate them, or alleviate symptoms. ...

in particular, especially large corporations, operate for sinister purposes and against the public good, that they conceal effective treatments, or even cause and worsen a wide range of diseases for the purpose of profitability, or for other nefarious reasons. Some theories have included the claim that natural alternative remedies to health problems are being suppressed, the claim that drugs for the treatment of

HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ...

are ineffective and harmful, the claim that a cure for all cancers has been discovered but hidden from the public, claims that

COVID-19 vaccine A COVID19 vaccine is a vaccine intended to provide acquired immunity against severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2), the virus that causes coronavirus disease 2019 ( COVID19). Prior to the COVID19 pandemic, an e ...

s are ineffective, and that alternative cures are available for

COVID-19 Coronavirus disease 2019 (COVID-19) is a contagious disease caused by a virus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first known case was COVID-19 pandemic in Hubei, identified in Wuhan, China, in December ...

. In each case the conspiracy theorists have blamed pharmaceutical companies' search for profits. A range of authors have shown these claims to be false, though some of these authors nevertheless maintain that other criticisms of the pharmaceutical industry are legitimate.

History and definition

According to

Steven Novella Steven Paul Novella (born July 29, 1964) is an American clinical neurologist and associate professor at Yale University School of Medicine. Novella is best known for his involvement in the skeptical movement as a host of ''The Skeptics' Guide t ...

the term ''Big Pharma'' has come to connote a

demonized Demonization or demonisation is the reinterpretation of polytheistic deities as evil, lying demons by other religions, generally by the monotheistic and henotheistic ones. The term has since been expanded to refer to any characterization of individ ...

form of the pharmaceutical industry. Professor of writing Robert Blaskiewicz has written that conspiracy theorists use the term ''Big Pharma'' as "shorthand for an abstract entity corporations, regulators, NGOs, politicians, and often physicians, all with a finger in the trillion-dollar prescription pharmaceutical pie". 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. In the 1970s and 1980s, the conspiracy theory was promoted by

Ann Wigmore Ann Wigmore (March 4, 1909 – February 16, 1994) was a Lithuanian–American holistic health practitioner, naturopath and raw food advocate. Influenced by the 'back to nature' theories of Maximilian Bircher-Benner, she maintained that plants c ...

who held that diseases, including cancer and

, could be effectively treated with a

raw food diet Raw foodism, also known as rawism or a raw food diet, is the dietary practice of eating only or mostly food that is uncooked and unprocessed. Depending on the philosophy, or type of lifestyle and results desired, raw food diets may include ...

. In this context, Wigmore believed that the pharmaceutical industry was part of a conspiracy to keep the population at large ill. 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". 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 disease A neurodegenerative disease is caused by the progressive loss of structure or function of neurons, in the process known as neurodegeneration. Such neuronal damage may ultimately involve cell death. Neurodegenerative diseases include amyotrophic ...

s), but that such beliefs were negatively correlated to mainstream religion while having anti-science and anti-elitism bases.

Manifestations

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.

HIV/AIDS

Since the beginning of the

AIDS epidemic The global epidemic of HIV/AIDS (human immunodeficiency virus infection and acquired immunodeficiency syndrome) began in 1981, and is an ongoing worldwide public health issue. According to the World Health Organization (WHO), as of 2021, HIV/AI ...

, many dangerous hypotheses have been put forward to explain the origin and nature of the disease. One conspiracy theory claims that AIDS was created by the

US government The federal government of the United States (U.S. federal government or U.S. government) is the national government of the United States, a federal republic located primarily in North America, composed of 50 states, a city within a feder ...

to control and/or wipe out

gay ''Gay'' is a term that primarily refers to a homosexual person or the trait of being homosexual. The term originally meant 'carefree', 'cheerful', or 'bright and showy'. While scant usage referring to male homosexuality dates to the late 1 ...

s and

African Americans African Americans (also referred to as Black Americans and Afro-Americans) are an ethnic group consisting of Americans with partial or total ancestry from sub-Saharan Africa. The term "African American" generally denotes descendants of ens ...

. Also, there is a cure for HIV/AIDS that is withheld from the poor. Other theories say that although the virus is harmful, the risks of

antiretroviral drugs The management of HIV/AIDS normally includes the use of multiple antiretroviral drugs as a strategy to control HIV infection. There are several classes of antiretroviral agents that act on different stages of the HIV life-cycle. The use of multipl ...

outweigh the benefits. The drugs are said to be toxins that are spread by doctors who have been corrupted by the pharmaceutical industry. In a 2006 column for ''

Harper's Magazine ''Harper's Magazine'' is a monthly magazine of literature, politics, culture, finance, and the arts. Launched in New York City in June 1850, it is the oldest continuously published monthly magazine in the U.S. (''Scientific American'' is older, b ...

'', journalist

Celia Farber Celia Ingrid Farber (born c. 1965) is an American print journalist and author who has covered a range of topics for magazines including ''Spin'', ''Rolling Stone'', ''Esquire'', '' Harper's'', ''Interview'', ''Salon'', ''Gear (magazine), Gear'', ...

claimed that the antiretroviral drug

nevirapine Nevirapine (NVP), sold under the brand name Viramune among others, is a medication used to treat and prevent HIV/AIDS, specifically HIV-1. It is generally recommended for use with other antiretroviral medications. It may be used to prevent mothe ...

was part of a conspiracy by the "scientific-medical complex" to spread toxic drugs. Farber said that AIDS is not caused by HIV and that nevirapine had been unethically administered to pregnant women in clinical trials, leading to a fatality. Farber's theories and claims were refuted by scientists, but, according to researcher

Seth Kalichman Seth C. Kalichman is an American clinical community psychologist and professor of social psychology at the University of Connecticut, known for his research into HIV/AIDS treatment and HIV/AIDS denialism. Kalichman is also the director of the So ...

, the resulting publicity represented a breakthrough moment for

AIDS denialism HIV/AIDS denialism is the belief, despite conclusive evidence to the contrary, that the human immunodeficiency virus (HIV) does not cause acquired immune deficiency syndrome (AIDS). Some of its proponents reject the existence of HIV, while oth ...

. The former president of

South Africa South Africa, officially the Republic of South Africa (RSA), is the southernmost country in Africa. It is bounded to the south by of coastline that stretch along the South Atlantic and Indian Oceans; to the north by the neighbouring countri ...

Thabo Mbeki Thabo Mvuyelwa Mbeki KStJ (; born 18 June 1942) is a South African politician who was the second president of South Africa from 14 June 1999 to 24 September 2008, when he resigned at the request of his party, the African National Congress (ANC ...

, influenced by AIDS denier

Peter Duesberg Peter H. Duesberg (born December 2, 1936) is a German-American molecular biologist and a professor of molecular and cell biology at the University of California, Berkeley. He is known for his early research into the genetic aspects of cancer. He ...

, introduced policies that denied treatments to AIDS patients. According to estimates this led, among other things, to more than 300,000 people dying prematurely.

Cure for cancer

A recurring conspiracy theory claims that the pharmaceutical industry has a cure for

cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...

, but suppresses it so that they can continue to make billions on the "ineffective" treatments currently given to cancer patients. This was believed by 27% of the American public according to a 2005 survey. The argument is that pharmaceutical companies are slowing down research for a comprehensive cure for cancer by developing high-profit, single-purpose treatments rather than focusing on a supposed cure-all for all cancers.

Vaccines

The idea that vaccines were created by the pharmaceutical industry to make people sick, or to alter

human DNA The human genome is a complete set of nucleic acid sequences for humans, encoded as DNA within the 23 chromosome pairs in cell nuclei and in a small DNA molecule found within individual mitochondria. These are usually treated separately as the n ...

, has been around for a long time but has been given new life during the covid pandemic. The conspiracy theory that vaccines make people autistic can be traced back to a study published in

The Lancet ''The Lancet'' is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also the world's highest-impact academic journal. It was founded in England in 1823. The journal publishes original research articles, ...

in February 1998.

Andrew Wakefield Andrew Jeremy Wakefield (born September 3, 1956) is a British anti-vaccine activist, former physician, and discredited academic who was struck off the medical register for his involvement in ''The Lancet'' MMR autism fraud, a 1998 study that ...

claimed that there is a link between

MMR vaccine and autism Claims of a link between the MMR vaccine and autism have been extensively investigated and found to be false. The link was first suggested in the early 1990s and came to public notice largely as a result of the 1998 ''Lancet'' MMR autism frau ...

. The study later turned out to be fraudulent, and led to Wakefield being struck off the medical register. The Lancet also withdrew the article. Although a number of studies have disproved the link between autism and vaccines, the conspiracy theory has survived in various forms, and it has been spread by, among others,

Donald Trump Donald John Trump (born June 14, 1946) is an American politician, media personality, and businessman who served as the 45th president of the United States from 2017 to 2021. Trump graduated from the Wharton School of the University of Pe ...

. Other conspiracy theories suggest that vaccines are used to implant

microchips An integrated circuit or monolithic integrated circuit (also referred to as an IC, a chip, or a microchip) is a set of electronic circuits on one small flat piece (or "chip") of semiconductor material, usually silicon. Transistor count, Large ...

for

surveillance Surveillance is the monitoring of behavior, many activities, or information for the purpose of information gathering, influencing, managing or directing. This can include observation from a distance by means of electronic equipment, such as c ...

and

thought control Brainwashing (also known as mind control, menticide, coercive persuasion, thought control, thought reform, and forced re-education) is the concept that the human mind can be altered or controlled by certain psychological techniques. Brainwash ...

. Among others, the

Bill & Melinda Gates Foundation The Bill & Melinda Gates Foundation (BMGF), a merging of the William H. Gates Foundation and the Gates Learning Foundation, is an American private foundation founded by Bill Gates and Melinda French Gates. Based in Seattle, Washington, it was l ...

has been accused of wanting to microchip the world's population through global vaccination programs.

COVID-19

The

COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identif ...

is surrounded by a wide range of conspiracy theories. Including that COVID-19 does not exist at all or is just a mild

flu Influenza, commonly known as "the flu", is an infectious disease caused by influenza viruses. Symptoms range from mild to severe and often include fever, runny nose, sore throat, muscle pain, headache, coughing, and fatigue. These symptom ...

. During the pandemic, there was a surge of conspiracies about the origins of the disease, such as claiming that the virus was created in a laboratory. However, strong evidence suggests that the disease-causing virus,

SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19 (coronavirus disease 2019), the respiratory illness responsible for the ongoing COVID-19 pandemic. The virus previously had a ...

, is a naturally evolved strain belonging to the coronavirus subfamily. The 2020 video Plandemic: The Hidden Agenda Behind Covid-19, promotes the conspiracist claim that vaccines are "a money-making enterprise that causes medical harm". In the video, former research scientist

Judy Mikovits Judy Anne Mikovits (born April 1, 1958) is an American former scientist, research scientist who is known for her discredited medical claims, such as that mouse, murine endogenous retroviruses are linked to chronic fatigue syndrome (CFS). As an ...

spread the notion that "Big Pharma",

Bill Gates William Henry Gates III (born October 28, 1955) is an American business magnate and philanthropist. He is a co-founder of Microsoft, along with his late childhood friend Paul Allen. During his career at Microsoft, Gates held the positions ...

and the

World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...

led a conspiracy, in which they acted together as a "circular cabal" with the aim of killing Americans. The video was released on May 4, 2020, and garnered millions of views, making it one of the most widespread pieces of COVID-19 misinformation.

Natural cures

In the book '' Natural Cures "They" Don't Want You to Know About'', author

Kevin Trudeau Kevin Trudeau (; born ) is an American author, salesman, and convicted fraudster known for promotion of his books and resulting legal cases involving the US Federal Trade Commission. His ubiquitous late-night infomercials, which promoted unsub ...

claims that there are all-natural cures for serious illnesses including

herpes Herpes simplex is a viral infection caused by the herpes simplex virus. Infections are categorized based on the part of the body infected. Oral herpes involves the face or mouth. It may result in small blisters in groups often called cold s ...

arthritis Arthritis is a term often used to mean any disorder that affects joints. Symptoms generally include joint pain and stiffness. Other symptoms may include redness, warmth, swelling, and decreased range of motion of the affected joints. In som ...

AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual m ...

, acid reflux disease,

diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...

multiple sclerosis Multiple (cerebral) sclerosis (MS), also known as encephalomyelitis disseminata or disseminated sclerosis, is the most common demyelinating disease, in which the insulating covers of nerve cells in the brain and spinal cord are damaged. This d ...

lupus Lupus, technically known as systemic lupus erythematosus (SLE), is an autoimmune disease in which the body's immune system mistakenly attacks healthy tissue in many parts of the body. Symptoms vary among people and may be mild to severe. Comm ...

chronic fatigue syndrome Chronic fatigue syndrome (CFS), also called myalgic encephalomyelitis (ME) or ME/CFS, is a complex, debilitating, long-term medical condition. The causes and mechanisms of the disease are not fully understood. Distinguishing core symptoms are ...

attention deficit disorder Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by excessive amounts of inattention, hyperactivity, and impulsivity that are pervasive, impairing in multiple contexts, and otherwise Development ...

muscular dystrophy Muscular dystrophies (MD) are a genetically and clinically heterogeneous group of rare neuromuscular diseases that cause progressive weakness and breakdown of skeletal muscles over time. The disorders differ as to which muscles are primarily affe ...

, and that these are all being deliberately hidden and suppressed from the public by the

Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...

, the

Federal Trade Commission The Federal Trade Commission (FTC) is an independent agency of the United States government whose principal mission is the enforcement of civil (non-criminal) antitrust law and the promotion of consumer protection. The FTC shares jurisdiction ov ...

, and major food and drug companies. The book has been the focus of much controversy since its publication, with widespread allegations of fraud.

Reception

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 Benjamin Radford (born October 2, 1970) is an American writer, investigator, and skeptic. He has authored, coauthored or contributed to over twenty books and written over a thousand articles and columns on a wide variety of topics including urba ...

, 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. A prominent example noted by Radford is a systematic review published in the ''

British Medical Journal ''The BMJ'' is a weekly peer-reviewed medical trade journal, published by the trade union the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Origi ...

'' showing that

paracetamol Paracetamol, also known as acetaminophen, is a medication used to treat fever and mild to moderate pain. Common brand names include Tylenol and Panadol. At a standard dose, paracetamol only slightly decreases body temperature; it is inferior ...

is ineffective for lower back pain and has minimal effectiveness for

osteoarthritis Osteoarthritis (OA) is a type of degenerative joint disease that results from breakdown of joint cartilage and underlying bone which affects 1 in 7 adults in the United States. It is believed to be the fourth leading cause of disability in the w ...

. In his 2012 book ''

Bad Pharma ''Bad Pharma: How Drug Companies Mislead Doctors and Harm Patients'' is a book by the British physician and academic Ben Goldacre about the pharmaceutical industry, its relationship with the medical profession, and the extent to which it control ...

'',

Ben Goldacre Ben Michael Goldacre (born 20 May 1974) is a British physician, academic and science writer. He is the first Bennett Professor of Evidence-Based Medicine and director of the Bennett Institute for Applied Data Science at the University of Oxford ...

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".

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. 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. 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. Dave Roos and Oliver Childs have criticized the idea that holding back a cure for cancer would result in more profit than presenting one. 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. In 2016, David Robert Grimes published a research paper elaborating about the mathematical non-viability of conspiracy theories in general. 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.