The Influence of Lobbying and Electoral Financing in the Pharmaceutical Sector
Authors/Creators
Description
Over the past century, the pharmaceutical industry has consolidated itself as one of the most powerful sectors of the global economy, exerting growing influence not only over scientific production and clinical practices, but also over the political and regulatory processes that shape health systems. Beyond the scientific and technological advances and socioeconomic transformations that have driven its expansion, critical scholarship has emphasized the adoption of structural mechanisms of corporate influence, among which lobbying and electoral financing occupy a central position. This scientific report analyzes, in a concise and didactic manner, how these practices operate within the pharmaceutical sector, with particular emphasis on the United States, where the availability of public databases enables the examination of historical patterns of political activity. Drawing on data related to lobbying expenditures, electoral contributions, and the circulation of actors between the public and private sectors, the analysis demonstrates the scale of financial investments, the existence of privileged access to decision-makers, and the cumulative effects of these strategies on public policies and regulatory processes. By linking these data to emblematic cases, such as the opioid crisis, the report shows that political influence in the pharmaceutical sector is not confined to isolated practices, but constitutes an institutionalized phenomenon with direct implications for collective health and democratic governance. Finally, it argues that understanding these dynamics is essential for strengthening public debate and for reflecting on mechanisms of transparency, regulation, and the containment of political capture in the health sector.
Files
The Influence of Lobbying and Electoral Financing in the Pharmaceutical Sector.pdf
Files
(535.5 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:603c4c5fa1dff05d6cc07abb344ee355
|
535.5 kB | Preview Download |
Additional details
References
- STACCIARINI, João Henrique Santana. Influence, Deviations, and Excesses in the Pharmaceutical Sector. SocArXi, Center for Open Science, 2026. https://doi.org/10.31235/osf.io/rbysc_v1.
- STACCIARINI, João Henrique Santana. The Consolidation of the Pharmaceutical Sector in the Global Economy: growth, influence, deviations, and marketing. 2023. 145 p. PhD Thesis - Geography, Federal University of Goiás, Goiânia (Brazil), 2023. https://doi.org/10.5281/zenodo.10377840.
- PINA, Ana Sofia; HUSSAIN, Abid; ROQUE, Ana Cecília A.. An Historical Overview of Drug Discovery. Methods in Molecular Biology, [S.L.], p. 3-12, oct. 2009. http://dx.doi.org/10.1007/978-1-60761-244-5_1.
- STACCIARINI, João Henrique Santana. The Global Pharmaceutical Sector: numbers and dynamics. SocArXiv, Center for Open Science. 2024. https://doi.org/10.31235/osf.io/hbs8j.
- STACCIARINI, João Henrique Santana. Power, Disputes, and Geopolitics in the Pharmaceutical Sector. SocArXiv, Center for Open Science. 2024. https://doi.org/10.31235/osf.io/z5mf6_v2.
- MALERBA, Franco; ORSENIGO, Luigi. The evolution of the pharmaceutical industry. Business History, [S.L.], v. 57, n. 5, p. 664-687, 3 jun. 2015. http://dx.doi.org/10.1080/00076791.2014.975119.
- DIMASI, Joseph A. et al. Innovation in the pharmaceutical industry: new estimates of r&d costs. Journal Of Health Economics, [S.L.], v. 47, p. 20-33, may. 2016. http://dx.doi.org/10.1016/j.jhealeco.2016.01.012.
- STACCIARINI, João Henrique Santana. Research and Development (R&D) in the Pharmaceutical Sector. Revista Terceiro Incluído, [S.L.], v. 14, n. 1, p. 14109, 6 aug. 2024. http://dx.doi.org/10.5216/teri.v14i1.79594.
- TANNOURY, Maya; ATTIEH, Zouhair. The Influence of Emerging Markets on the Pharmaceutical Industry. Current Therapeutic Research, [S.L.], v. 86, p. 19-22, 2017. http://dx.doi.org/10.1016/j.curtheres.2017.04.005.
- OECD. Health at a Glance 2021: OECD indicators. Paris, France: OECD Publishing, 2021. 274 p. https://doi.org/10.1787/ae3016b9-en.
- OPEN PAYMENTS - The Open Payments Search Tool. National Transparency Program. Centers for Medicare & Medicaid Services (CMS). Baltimore, MD; US. 2025. Available: https://openpaymentsdata.cms.gov/. Accessed on: 21 oct. 2025.
- WOUTERS, Olivier J. Lobbying Expenditures and Campaign Contributions by the Pharmaceutical and Health Product Industry in the United States, 1999-2018. JAMA Internal Medicine, v. 180, n. 5, p. 688, 1 may. 2020. https://doi.org/10.1001/jamainternmed.2020.0146.
- FACHER, Lev. Pharma funded more than 2,400 state lawmaker campaigns in 2020, new STAT analysis finds. STAT. U.S. jun. 2021. Available: https://www.statnews.com/feature/prescription-politics/state-full-data-set. Accessed on: 26 nov. 2025.
- KNIGHT, Victoria et al. Pharma Campaign Cash Delivered to Key Lawmakers With Surgical Precision. KFF Health News. oct. 2021. Available: https://kffhealthnews.org/news/article/pharma-campaign-cash-delivered-to-key-lawmakers-with-surgical-precision/. Accessed on: 26 apr. 2023.
- TORBATI, Yeganeh; O'CONNELL, Jonathan. Pharmaceutical industry likely to shatter its lobbying record as it works to shape Democrats' spending bill. The Washington Post. Washington, D.C., U.S. nov. 2021. Available: https://www.washingtonpost.com/business/2021/11/05/pharmaceutical-industry-drug-price-lobbying/. Accessed on: 08 nov. 2025.
- KFF - Health News. State Health Facts: Opioid Epidemic. KFF Health News. 2023. Available: https://www.kff.org/statedata/collection/opioid-epidemic/. Accessed on: 29 apr. 2023.
- NCHS - National Center for Health Statistics (NCHS). U.S. Government's Primary Health Statistics Agency. Hyattsville, MD, U.S. 2023. Available: https://wonder.cdc.gov/mcd-icd10.html. Accessed on: 29 apr. 2023.
- NIDA – National Institute on Drug Abuse. Drug Overdose Deaths: Facts and Figures. National Center for Health Statistics (NCHS) at the U.S. Centers for Disease Control and Prevention (CDC). 2024. Available: https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates. Accessed on: 27 oct. 2025.
- HIGHAM, Scott; BERNSTEIN, Lenny. The Drug Industry's Triumph over the DEA. The Washington Post. Washington, D.C., U.S. oct. 2017. Available: https://www.washingtonpost.com/graphics/2017/investigations/dea-drug-industry-congress/. Accessed on: 26 nov. 2025.
- HIGHAM, Scott; HORWITZ, Sari. American Cartel: Inside the battle to bring down the opioid industry. The Washington Post. Washington, D.C., U.S. jul. 2022. Available: https://www.washingtonpost.com/investigations/2022/07/07/american-cartel-book/. Accessed on: 26 nov. 2025.