Author Archive

Pharma: Selling Cures or Selling Diseases?

This story will not be news to students of bioethics (health-care ethics), but it does provide a useful summary and links to some good commentary:
Drug firms accused of turning healthy people into patients

But according to reports published today, the truth is more complicated. Healthy people are being turned into patients by drug firms which publicise mental and sexual problems and promote little-known conditions only then to reveal the medicines they say will treat them.

The studies, published in a respected medical journal, accuse the pharmaceutical industry of “disease mongering” – a practice in which the market for a drug is inflated by convincing people they are sick and in need of medical treatment.

The “corporate-sponsored creation of disease” wastes resources and may even harm people because of the medication they turn to, the researchers add.

Pharma corporations, of course, deny this:

In a statement, Pfizer said it “only promotes prescription medicines to healthcare professionals and only in line with its licensed indications. Pfizer does not promote any of its prescription medicines to the general public and does not recommend, or promote the use of Viagra, outside of its licensed indications.”

I doubt anyone who’s seen a Viagra commercial could take seriously Pfizer’s claim that it doesn’t promote prescription medicines to the general public. Perhaps the claim here is that while those commercials are broadcast in such a way that the general public can see them, they are only intended for men with serious erectile dysfunction. If that is the claim, is it any different from claims made by cigarette companies that minors seeing their ads in magazines is “merely incidental?”

Here are the 11 articles on “Disease Mongering”, from the journal Public Library of Science Medicine.

In Business Ethics, the idea that companies may induce, rather than respond to, consumer demand is usually discussed in terms of what John Kenneth Galbraith called “the dependence effect.” Galbraith’s idea is basically that in modern society, all actual “needs” are pretty much met, and so in order to expand markets, manufacturers end up producing goods to satisfy wants that are actually the result of the very process that satisfies them. (Here is Friedrick A. Hayek’s critique of Galbraith’s idea, The Non Sequitur of the “Dependence Effect”. Student essay topic: How does Hayek’s criticism relate to the current charges of ‘disease mongering’?)

Here is a page for Cases on Advertising Ethicsx from CasePlace.Org

Some relevant books:
Advertising Ethics, by Spence and Van Heekeren
Soap, Sex, and Cigarettes : A Cultural History of American Advertising, by Juliann Sivulka
The Affluent Society, by John Kenneth Galbraith

NGO Accountability

I found this story in the Financial Times thanks to Dave Chandler’s “Strategic CSR” newsletter:
US tackles controversial issue with conviction

(You can sign up to receive Dave’s weekly newsletter by emailing him at david.chandler@phd.mccombs.utexas.edu.)

The recent conviction of six US-based animal rights activists for inciting threats and harassment as part of a campaign against an animal testing company may come to mark a turning point in the way the country tackles extremism.
The activists were tried under anti-terrorism laws and face jail terms of up to three years. The case sent a signal that the US was getting tough with those involved in such activity.

A tactical shift towards “secondary and tertiary targeting” of those with links to drug companies started to emerge in the late 1990s, with the emergence of a new style of activist group.

Among the most prominent was Stop Huntingdon Animal Cruelty (Shac), which has run a long campaign against the medical research company Huntingdon Life Sciences (HLS).

Shac’s secondary targeting tactics included the website publication of contact details of companies and suppliers linked to HLS, urging supporters to write and telephone the companies to pressure them to stop doing business with HLS.

I don’t have much to add, except to quote part of what Dave Chandler said about it in his newsletter:

To what extent does an NGO have the right to disrupt the lawful business of a firm just because it believes its [own] goals and values are correct? Adopting a stakeholder perspective does not mean that a firm must adopt and implement the demands of any stakeholder, irrespective of the validity of the claim or the representative nature of the stakeholder group. Issues of accountability extend to NGOs in the same way that they extend to companies.

Ethics and “Green Tags”


From BusinessWeek Online, It’s A Little Easier Being Green: Consumers and companies are giving alternative energy a boost with “green tags”

Martin Hughes is not your typical hybrid-driving, clean-energy fanatic. Hughes and his wife, both longtime oil-industry veterans, zoom around Houston in no-compromise vehicles. His, a Nissan Xterra SUV. Hers, a zippy Volkswagen Passat.

Yet when Hughes heard last year about an environmental startup called TerraPass Inc., he was intrigued. The Menlo Park (Calif.) company sells “green tags,” which cost up to $80 a year and which are designed to offset the emissions a car spews into the air during that period. After taking a small cut of each sale, TerraPass pools its members’ fees and invests them in clean energy production, including wind power. Hughes checked out the service online last August and then forked over $129 for two TerraPass windshield decals. “I was impressed,” he says. “It’s a for-profit product that allows you to exercise your conscience.”

The story goes on to explain that companies all over the U.S. are buying “green tags” as a way of offsetting their energy consumption.

Green tags have several ethically interesting features.

  • First, they allow polluters (direct or indirect) to avoid taking direct action to reduce their own pollution. That is, rather than actually changing their behaviour, companies can now buy green tags (most of the price of which goes to getting other companies to change their behaviour.) Some will find this feature offensive.
  • Second, this is an effective strategy, in terms of reducing pollution. If we care about promoting good outcomes (and not just about who takes the blame for what), then green tags seem like a good idea.
  • Green tags seem to make the most sense where it’s more efficient for a polluter to buy someone else’s reduction in pollution than to cut its own pollution…which will be the case wherever there are serious technological or practical barriers to changes in consumption. So, for example: an urban SUV driver paying $800 for a green tag to support a local bicycle co-op is simply off-setting pollution that she arguably doesn’t need to emit in the first place. On the other hand, a small-business owner who needs an SUV, and who donates $800 to the bike co-op rather than spending thousands to switch to a hybrid SUV is doing something good.
  • The idea of a “tag” is crucial. A simple green “credit” would do just as much immediate good: a company like Starbucks could simply pay for someone else’s energy-consumption, feel good about it, and leave it at that. But a “tag” (or certificate) has the additional feature of allowing the company to show the world the good it’s doing. In some cases, this will mean getting credit where credit is due. Sometimes it will mean something closer to greenwashing. But it’s a new dimension along which to evaluate corporate behaviour. It’s time for everyone interested in evaluating corporate behaviour to start getting literate in the language of green tags.

Wal-Mart & Brokeback

Sorry, another Wal-Mart posting.

From Reuters: “Wal-Mart sells ‘Brokeback’ DVDs despite protests”

Wal-Mart Stores Inc., the world’s largest retailer, went ahead with plans this week to sell DVD copies of the gay-themed film “Brokeback Mountain” despite protests from a Christian advocacy group.

The American Family Association, which called for a boycott against Ford Motor Co., for advertising in gay publications, recently began pressing Wal-Mart to refuse to carry the award-winning movie in its 3,700-plus U.S. stores.

The Tupelo, Mississippi-based group accused Wal-Mart of abandoning its “family-friendly” corporate image by selling the film, about two cowboys who carry on a homosexual love affair.

Most people like the idea of consumer activism, and the idea of big companies bowing to public pressure. But for most of us, that ends as soon as we see a company bowing to demands we disagree with.

So, there are a lot of people who would rejoice if Wal-Mart acceded to public demands to stop selling, say, guns, but who would be angered if Wal-Mart acceded to public demands to stop selling Brokeback Mountain.

Of course, guns kill people. (Or, if you like, guns are used by people to kill people. Whatever.) There have been, to the best of my knowledge, no instances of innocent bystanders being killed with a Brokeback Mountain DVD. Groups like the American Family Association, of course, believe (some of them) that the homosexuality portrayed in the film is either evil in and of itself, or will have some kind of corruptive effect on families, social fabric, etc. The former claim (that homosexuality is immoral) is rejected — formally, at least — by all Western nations. The latter claim — that homosexuality, or its portrayal, will have negative social consequences is an empirical claim, one for which no convincing evidence exists.

But deep disagreeement about these two cases is unlikely to go away. So, retailers like Wal-Mart are left with hard decisions about what kinds of public pressure to bow to.

I’ll merely suggest two philosophical touchstones, starting points for those of you interested in thinking more about this problem.
1) John Stuart Mill’s “harm principle.” Mill’s ‘harm principle’ says, roughly, that you shouldn’t have a law against something if it doesn’t harm anyone. Simply finding a behaviour objectionable is not enough to warrant passing a law against it (even if a large majority were to find it objectionable). (For more: see Mill’s “On Liberty”)
2) John Rawls’s notion of “public reasons”. Rawls held that deep disagreement is a central feature of life in a modern, liberal democratic society. He also held that the existence of such disagreement is reasonable. Rather than try to argue away disagreement, Rawls held that we ought to seek good deliberative procedures that would allow us to make pragmatic decisions in spite of ineliminable disagreements. One key principle that Rawls suggests ought to guide such deliberations is that the reasons brought to bear should be “public” ones. That is, they ought to be reasons that are consistent with the shared values of a democratic people. (My apologies to Rawls scholars for the roughness of this explanation.) (For more: see Rawls’s “Justice as Fairness”)

Of course, both Mill and Rawls were talking about public decision-making, rather than decision-making by private institutions like Wal-Mart. But in a sense, a mega-retailer like Wal-Mart plays a role akin to that played by public institutions. Given both its size, and the fact that corporations are made possible by various pieces of public law, a case might be made that corporate decision-making on contentious issues ought to be guided by the best available philosophical principles designed for public deliberation. So (and here’s a good thesis project), are there corporate analogies to Mill’s harm principle and Rawls’s notion of public reasons? Are they defensible?

Wal-Mart & CSR

This Blog is dangerously close to becoming the “Wal-Mart Ethics Blog.” This is not my plan, but interesting stories about the world’s largest retailer just keep popping up!

Yesterday, Reuters had this:
Wal-Mart to open stores in blighted areas

Wal-Mart Stores Inc., under fire from a host of critics for its business practices, on Tuesday said it would open more than 50 stores in distressed areas and help small business around those locations thrive once the discount chain moves in.

The world’s biggest retailer, often blamed for driving mom-and-pop stores out of business, said it would offer business development grants to nearby companies and give them free in-store advertising as part of a new economic development program.

Wal-Mart will also hold seminars for minority and women-owned business owners on how to become Wal-Mart suppliers, as well as seminars for all surrounding small businesses on how to compete in a community with a Wal-Mart.

Here are 3 perspectives on this story. Make up your own mind:

  • “This is window-dressing. It’s damage-control. After a few years of harsh criticism, Wal-Mart is going to spend a few bucks on helping the ‘little people,’ and then brag about it, like, forever.”
  • “This is atonement. However late, however reluctantly, Wal-Mart is going to try to buy its way out of purgatory.”
  • “This is classic (now mainstream) Corporate Social Responsibility. It’s an example of a company helping a range of stakeholders in a way that, yes, looks good, and may have other kinds of synergistic positive implications for the bottom line.”
  • Oh, and option 4 is “All of the above.”

Personally, I have no idea what’s motivating this move by Wal-Mart. You may have an opinion, but backing that up will be difficult. After all, most of us have trouble divining the motives of people we know well. Accurately determining the motives of an organization as large & complicated as Wal-Mart seems much harder. So, what are we to do, when corporate motives are so unclear?

Update: Here’s the NYT’s take on this story

Ethics of Organic Farming

My blog entry saying nice things about Wal-Mart last week didn’t draw too much fire, so maybe this is a good time to say some things about organic food. (Not coincidentally, I also blogged last week about Wal-Mart’s foray into the world of organics.)

Organic farming is a business. Indeed, it’s a big one. And for many, it is the epitome of an ethical business.

Organic foods enjoy a reputation among consumers that may not be substantiated by anything like real evidence. Consumers tend to think organic foods are healthier (either because they believe non-organic foods have dangerous levels of agrochemicals, or because they believe organic foods have superior nutritional value). Those beliefs are not fully justified, based on my reading of the available evidence. (Note that to say that a belief is “not justified” is different from saying it is “false.”)

And producers of organic foods undeniably benefit from the public perception that organic foods are healthier. Farmers and retailers benefit from that perception, because it means that a certain percentage of consumers are willing to pay a significant premium for organic foods. But are organic foods really any better? Organizations representing the organic agriculture industry are careful not to make health claims for organic foods (and indeed, in some juristictions such claims are forbidden by law.) But it’s hard to find a pro-organic website that doesn’t have some sort of claim — however vague — about the health benefits of organic food. Look, for example, at the 10 Top Reasons to Go Organic, from the organic lifestyles magazine OrganicFood.co.uk. (Note that the article does not cite sources; and many of its implied causal claims are highly suspect.)

So, here’s the qestion: what ethical concerns should we have about those selling organic food — a boutique product with only uncertain benefits? Is there more to be said for organic foods than there is for such dubious (and expensive) products as Qray bracelets and other pseudo-scientific products? And is organic food more than the bourgeois status symbol that some people say it is? Why don’t advocates for organic foods welcome the idea of Wal-Mart bringing organic foods to the masses? Is it because that would reduce the symbolic value of organics, the way the caché of Starbucks coffee would be diminished if they sold that at Wal-Mart? Do the claimed environmental benefits of organic farming stand up to the argument that intensive agriculture is more productive, and hence more sustainable?

As always, this blog is not the place to wrestle an issue to the ground. Whatever else this blog is for, it ought to get people to question their assumptions about what business practices are ethical, and why. Here are just a few links.

Footnote: From the category of debunked criticisms — there have in the past been claims that organic foods carry higher levels of E. Coli (a deadly bacteria) than other foods, because of the greater use of manure as a fertilizer on organic farms. This has pretty much been debunked (or is at least unsubstantiated, for now.) Also debunked have been claims about higher levels of mycotoxins (toxins produced by fungi) in organic foods. The scientists may still be wrangling over these issues, but for now it looks like these are not serious concerns (i.e., there is no reason to think that organic foods are, in general, less safe than other foods.)

Response to “Nice Things About Wal-Mart”

Last week I posted a limited defense of Wal-Mart.

Peter over at CredoAdvisors has written up a thoughtful response.

Ken Lay to Sponsor Ethics Prize


From the rumour mill: A spokesperson for Ken Lay has apparently announced that the former Chairman of Enron will donate the last of his much-diminished fortune to sponsor a business ethics essay contest for college students.

The contest will apparently invite entries in several categories, with winners in each category receiving appropriate prizes, including:

“Best Paper on Business & the Environment.” Prize: a fully tricked-out SUV.
“Best Paper on Ethical Issues in Customer Service.” Prize: a Dell laptop.
“Best Paper on Corporate Philanthrophy” Prize: a lifetime supply of Reebok running shoes.
“Best Paper on Energy Conservation.” Prize: a gift basket featuring a range of petroleum products, courtesy of Exxon
“Best Paper on Ethics & Governance.” Prize: framed, autographed copy of the Enron Code of Ethics.

So far, this rumour has not been substantiated, but some details can be found here and here.

Please Stop Calling them “Ethics Laws”

Here’s a fun story, with an irritating title, from Salon.com: Who needs ethics laws? We have real-estate records, by Tim Grieve. [You should be able to view the story for free; but you might have to agree to watch a commercial to get to it.]

Citing an Associated Press story, Grieve writes:

According to the story, Ryun bought his Capitol Hill house from the Family Network for $410,000 in December 2000. He paid $19,000 less than the Family Network had paid for it two years earlier — an unlikely deal, as anyone who has followed the Washington, D.C., housing market can tell you. The house is now valued at $764,310.

The Ryun revelations come just months after the political life of Rep. Duke Cunningham gave way to bribery charges because a scrappy reporter stumbled upon real-estate records that showed a defense contractor had sold Cunningham his house at a $700,000 loss.

First, the thing that’s irritating about the title (though it’s not Tim Grieve’s fault) is the term “ethics laws.” It’s a silly and misleading term. Most good laws prohibit activities that are also unethical. So, in a sense most laws are “ethics laws.” So, it’s a poor term for the particular sub-set of laws discussed in the Salon.com story, namely laws established to regulate things like conflict of interest and bribery.

(I’ve blogged about the distinction between ethics & law before, in discussing the way the term “corporate ethics” has come to mean something like “not breaking the law,”, and again in discussing theEnron trials.)

What’s fun about the story is that it’s about investigative reporters cleverly hunting down evidence of wrongdoing by lobbyists and the politicians they lobby. Of course, the rhetorical question in Grieve’s title is also off-base: we need laws prohibiting this sort of behaviour precisely so that, when an investigative reporter digs it up, someone can be called to account not just by the media and the public, but by the courts.

Wal-Mart Goes Organic!?

From BusinessWeek Online today: Wal-Mart’s Organic Offensive.

Wow. The world’s largest retailer is planning to make a big dent in the organic foods market. Yes, Wal-Mart, everyone’s favourite symbol of corporate avarice, is aiming to become a leading purveyor of the archetypical goody-goody lefty-progressive counterculture boutique consumer good.

But not everyone is happy about this (which is what makes the title of the article a play on words. Get it?)

Richard DeWilde has a long history with organic farming. His grandfather, Nick Hoogshagen, adopted the organic approach five decades ago on his farm in South Dakota, well before it became popular with consumers…
But DeWilde isn’t thrilled. Instead, he’s dismayed at the prospect of Wal-Mart becoming a player in the organic market. He fears that the company will use its market strength to drive down prices and hurt U.S. farmers. “Wal-Mart has the reputation of beating up on its suppliers,” says DeWilde. “I certainly don’t see ‘selling at a lower price’ as an opportunity.”
He’s hardly the only one. Many farmers who have benefited from the strong demand and healthy margins for organic goods are fretting that the market’s newfound success also brings with it newfound risks.

Now, I’m not about to say anything anti-farmer. Most farmers work much harder than I do, and deserve every penny they make. But still, it’s a little hard to have much sympathy for the idea that organic foods should be priced so that only people driving Volvos while sipping Starbucks cappucinos can afford them.

More interesting, perhaps, is the worry that Wal-Mart (and other major corporate players) might use their influence in Washington “to lower the standards for what is classified as organic food,” and that they might import ostensibly “organic” food from China, which would hurt American farmers and (in some people’s eyes) render the authenticity of the supposedly organic foods suspect.

But the article ends on an up note. It reminds us that a retailer the size of Wal-Mart is capable of changing the way suppliers do business. The result of Wal-Mart entering the market for organics might well mean an overall increase in the supply of organic foods.

While some farmers are concerned that Wal-Mart may try to squeeze them financially, there could be a more benign impact. Farmers who now use pesticides and other chemicals could turn to organic farming, as they see increased demand.

(Of course, just how much credit Wal-Mart deserves, here, depends in part on what we think of organic foods. Certainly, using less pesticide & so on seems like a good thing, from an environmental point of view. But there’s at least some reason to doubt whether organic foods are any healthier than other foods).