


"For all the benefits they bring, the pharmaceutical industry's biggest companies... increasingly face a conflict between the goals of corporate wealth and public health." So says the blurb on the cover of "Big Pharma: Exposing the Global Healthcare Agenda," a 2006 book by Jacky Law, a pharmaceutical journalist.



John LaMattina is as methodical as you would expect the head of research and development at the world's largest drug company to be. Talking to C&EN at Pfizer's New York City headquarters, he is prepared with informative anecdotes catered to dismissing criticism of the industry point by point.



Over the past decades, there have been many break–throughs in the discovery and development of new medications to treat diseases. Yet a number of devastating human ailments still cannot be treated effectively with drugs.



Broad segments of U.S society are now deeply concerned about certain trends in the pharmaceutical industry. At the same time, public trust in the Food & Drug Administration has been declining, as blockbuster medicines, such as the arthritis drug Vioxx, have been withdrawn from the market, and some heavily prescribed antidepressants have been found dangerous for adolescents.