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Pharma Should Be Open About Money to Patient Groups


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prescription drugs and money

Big pharma is paying big money to groups with names like the U.S. Pain Foundation. These organizations say they’re advocating for patients, but many don’t disclose their funding sources. Such arrangements may cloud their intentions.

“Nearly all health advocacy groups accept funding from the pharmaceutical industry,” according to a recent U.S. Senate Investigation report.

And often, the groups’ activities help their benefactors at the expense of patients.

At least one Senator wants that to change. Sen. Claire McCaskill, D-Mo., is working on a fix, according to an aide.

The Senate investigation found that opioid manufacturers contributed about $10 million over a five-year period. That money went to leading patient advocacy organizations, affiliated doctors and professional societies. The U.S. Pain Foundation, for example, received nearly $3 million in that period.

In that time, many of the organizations fought policies and laws to address the growing addiction crisis. Not so coincidentally, those policies also aimed to lower the number of opioid prescriptions.

In other words, the advocacy groups that took money from Pharma opposed policies that would hurt Pharma’s profits.

Patients’ Voices Drowned Out

The recent Senate report used data gathered by an investigation led by McCaskill. Investigators requested that opioid manufacturers provide information about funding they gave to advocacy organizations.

The report also cited other research. The research included a recent study from PharmedOut, which is a project based at Georgetown University Medical Center. That study found that only a small number of nearly 8,000 health advocacy groups in the U.S. do not take pharmaceutical industry money.

Consequently, PharmedOut found, “[t]he voices of independent groups that truly represent patients and consumers are drowned out by the thousands of groups that take money from industry and push industry viewpoints.”

Other studies have reached similar conclusions. One even found some groups reporting pressure to conform their positions to their financial supporters’.

PharmedOut compiled a list of organizations that do not take industry money.

The others, according to the Senate report, frequently don’t disclose the extent of their financial relationship with Pharma.

So it’s hard for consumers, lawmakers and regulators to know whether an organization truly speaks for consumers.

Longstanding Problem

This is nothing new. Back in 2009, Sen. Charles Grassley, R-Iowa, led another Congressional Investigation. The New York Times reported then that drugmakers made the majority of donations to the National Alliance on Mental Illness. That’s about $23 million in donations between 2006 and 2008.

According to McCaskill’s office the groups profiled in the new Senate report have no legal obligation to disclose their donors. As a result, each organization decides how much information it wants to make public.

The 14 groups include:

  • The Washington Legal Foundation
  • The American Geriatrics Society
  • The American Pain Society
  • The U.S. Pain Foundation
  • The National Pain Foundation
  • ACS Cancer Action Network.

“The financial relationships between these groups and opioid manufacturers should be clear to the general public,” McCaskill said. “We passed a law ensuring the public had information on payments to doctors by pharmaceutical companies, and I can’t imagine why the same shouldn’t be done in this space.”

Give Patients Power

Patient advocacy groups should advocate for patients. They should not be a cover for financial interests of Big Pharma. Using them that way is as cynical and dishonest as it gets.

The American public deserves to know whether organizations have financial conflicts of interest. If a group advocates for public policies, regulations and laws, it should disclose where it gets its money.

Lawmakers should also not be in the dark. Or be able to claim they didn’t know.

For patients, knowledge is power.

It’s time for Congress to give patients power.

Elaine Silvestrini
Written By Elaine Silvestrini Writer

Elaine Silvestrini is an award-winning journalist with 30 years of experience covering state and federal court systems. She joined Drugwatch in 2017. Her coverage for Drugwatch has been cited in the CDC’s Public Health Law News and the USA Today Network. Some of her qualifications include:

  • Centers for Disease Control and Prevention certificates in Health Literacy
  • Experience as an assistant investigator for the Federal Public Defender
  • Loyola Law School Journalist Law School Fellowship
Edited By
Emily Miller
Emily Miller Managing Editor

3 Cited Research Articles writers follow rigorous sourcing guidelines and cite only trustworthy sources of information, including peer-reviewed journals, court records, academic organizations, highly regarded nonprofit organizations, government reports and interviews with qualified experts. Review our editorial policy to learn more about our process for producing accurate, current and balanced content.

  1. Homeland Security Digital Library. (2018, February 12). Fueling an Epidemic, Report Two: Exposing the Financial Ties Between Opioid Manufacturers and Third Party Advocacy Groups. Retrieved
  2. PharmedOut. (n.d.). Pharma-Free Advocacy Groups. Retrieved
  3. Harris, G. (2009, October 21). Drug Makers Are Advocacy Group’s Biggest Donors. Retrieved
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