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Paraphrasing from a recent episode of Behind the Bastards on the Vioxx scandal: There’s a lot of recency bias in humans where it’s difficult to look past the fuckups of the pharma industry. If their “current” MO is to make a shit ton of money at the cost of human lives, then why would someone with lesser critical thinking skills trust them? One needs quite a bit more faculties to separate the capitalism from the good they are doing and tell apart what’s trustworthy and what not.
So pharma fucked their bed spectacularly and aren’t doing fuck all to restore trust. And that’s very sad considering how important they could be if they wanted to.
Off the top of my head, it makes it desirable to cook the stats to get money, whether by banning abortion or simply prioritizing births vs children. Every funding metric is gamed, that’s why there’s arcane rules to enact change by hoping for a certain game strategy. In this case every strategy leads to misery.