• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia

Trendingnow

1

Ex-PepsiCo CEO Indra Nooyi worked from midnight until 5 a.m. as a receptionist to pay for her Yale degree—and she says ‘respect went up’ because of it

2

Shark Tank's Kevin O'Leary says if he were 25 today, he'd chase these two booming opportunities in the world of AI

3

Iran strikes 85 U.S. military sites in the Gulf, sparking a global selloff in stocks and a spike in the price of oil

1

Ex-PepsiCo CEO Indra Nooyi worked from midnight until 5 a.m. as a receptionist to pay for her Yale degree—and she says ‘respect went up’ because of it

2

Shark Tank's Kevin O'Leary says if he were 25 today, he'd chase these two booming opportunities in the world of AI

3

Iran strikes 85 U.S. military sites in the Gulf, sparking a global selloff in stocks and a spike in the price of oil
Leadership

To Fix High Drug Prices, Stop the Merger Madness

By
Jeffrey Pfeffer
Jeffrey Pfeffer
Down Arrow Button Icon
By
Jeffrey Pfeffer
Jeffrey Pfeffer
Down Arrow Button Icon
May 17, 2016, 12:02 PM ET
Daily Antiretroviral Pill Found To Protect Healthy From AIDS Transmission
SAN ANSELMO, CA - NOVEMBER 23: A pharmacist pours Truvada pills back into the bottle at Jack's Pharmacy on November 23, 2010 in San Anselmo, California. A study published by the New England Journal of Medicine showed that men who took the daily antiretroviral pill Truvada significantly reduced their risk of contracting HIV. (Photo Illustration by Justin Sullivan/Getty Images)Photograph by Justin Sullivan – Getty Images
Add Fortune on Google for similar content.

Sky-high prescription drug prices have angered both politicians and patients, and for good reason. Medication prices rose by more than six times the rate of inflation between 2006 and 2013.

While drug pricing is a complicated issue, the co-occurrence of soaring drug prices and an all-time record year for mergers in the pharmaceutical and biotechnology industry may be more than mere coincidence. 2015 saw the largest number and value of acquisitions ever in pharma and biotech—168 announced deals with 30 transactions exceeding $1 billion. The total value of mergers and acquisitions in 2015 was more than $300 billion, easily surpassing 2014’s record of $250 billion.

Over the years, large, economically significant players in the drug industry disappeared in takeovers—Warner-Lambert was acquired by Pfizer (PFE), Smith Kline Beechman was gobbled up by Glaxo Wellcome (GSK), Wyeth went to Pfizer, Schering-Plough was bought by Merck (MRK)—the list goes on and on. Of course, the troubled Valeant made buying other companies, and then raising prices, a core component of its business strategy.

The drug business is not the only industry to see both many mergers and signs of anti-competitive behavior. In 2015, the Justice Department opened an investigation into possible collusion by airlines to limit capacity—and thereby help to ensure higher and more stable prices. Just as in pharma, airline mergers have been plentiful, with companies such as Northwest Airlines, TWA, Republic Airlines, Western Airlines, and AirTran being absorbed and Continental merging with United, Air France with KLM, and British Airways with Iberia.

Economics teaches that under conditions of perfect competition, firms earn normal profits and “prices will be kept low by competitive pressures.” To achieve perfect competition, you need many firms to operate in the same business. Therefore, antitrust policy is supposed to ensure that competitive markets remain that way by limiting mergers that reduce market competition. However, as even casual observation attests, the number and value of takeovers has soared over the years, with only a tiny minority of acquisitions drawing regulatory scrutiny.

Somewhat surprisingly, as Princeton economist Orley Ashenfelter noted, there has been little empirical evaluation of the effects of mergers on consumer prices. A study of five mergers by Ashenfelter and Federal Trade Commission economist Daniel Hosken found that in four of the cases, there was evidence of an increase in some consumer prices.

Fewer competitors makes it easier for companies to tacitly coordinate behavior in anticompetitive ways. Smaller numbers of firms simplifies the task of monitoring what others are doing. And smaller numbers of competitors makes it easier for companies to cooperate with each other without having to explicitly communicate.

Large firms, of course, tend to operate in more markets. Operating in multiple market segments raises the prospects for “mutual forbearance.” The idea is that when companies compete across multiple fronts, they may restrain their competitive moves in one market out of concern that there could be retaliation by competitors in other markets.

I am bemused as Congress bemoans high drug prices—and for that matter, crummy airline service—without asking the fundamental question: why? Of course companies will raise prices if and when they can and, for that matter, do everything else possible to increase their profits. That’s precisely what good managers are supposed to do.

While it’s the job of business people to increase profits, it’s the job of politicians and regulators to ensure that markets remain as competitive as possible. Only the business people seem to be doing their jobs better.

Jeffrey Pfeffer is the Thomas D. Dee II Professor of Organizational Behavior at the Graduate School of Business, Stanford University, and author of Leadership BS: Fixing Workplaces and Careers One Truth at a Time.

Editor’s note: A previous version of this story incorrectly stated that Teva Pharmaceuticals had acquired Mylan. In fact, Teva withdrew its offer to purchase Mylan in July 2015.

About the Author
By Jeffrey Pfeffer
See full bioRight Arrow Button Icon
Add Fortune on Google for similar content.

Latest in Leadership

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • World's Most Admired Companies
  • See All Rankings
  • Lists Calendar
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

Latest in Leadership

The Best Rowing Machines (2026): Trainer Tested and Approved
HealthDietary Supplements
The Best Rowing Machines (2026): Trainer Tested and Approved
By Christina SnyderJuly 8, 2026
1 hour ago
‘Even shaving one minute off an EMT trip for severe cases can generate huge economic benefits.’ Well, New York’s congestion pricing did just that
North AmericaNew York City
‘Even shaving one minute off an EMT trip for severe cases can generate huge economic benefits.’ Well, New York’s congestion pricing did just that
By Catherina GioinoJuly 8, 2026
2 hours ago
Cathie Wood just bought the SpaceX dip again—and dumped Alibaba to do it
InvestingCathie Wood
Cathie Wood just bought the SpaceX dip again—and dumped Alibaba to do it
By Marco Quiroz-GutierrezJuly 8, 2026
2 hours ago
How Qualcomm’s CIO is placing big bets on AI to support the chip company’s diversification push
NewslettersCIO Intelligence
How Qualcomm’s CIO is placing big bets on AI to support the chip company’s diversification push
By John KellJuly 8, 2026
2 hours ago
Andrew Forrest, chairman of Fortescue Metals Group Ltd., during a panel session at the World Economic Forum (WEF) Annual Meeting of the New Champions in Dalian, China, on Tuesday, June 23, 2026.
C-SuiteLeadership
Mining CEO worth $24 billion nearly drowned and had to break his own leg in a freak hiking accident—he used the recovery time to go back to school
By Eleanor PringleJuly 8, 2026
5 hours ago
‘They’re not freak occurrences’: Farmers grapple with protecting crops as heat waves and extreme weather become more frequent
EnvironmentFood and drink
‘They’re not freak occurrences’: Farmers grapple with protecting crops as heat waves and extreme weather become more frequent
By The Associated Press and Joshua A. BickelJuly 8, 2026
5 hours ago

Most Popular

Ex-PepsiCo CEO Indra Nooyi worked from midnight until 5 a.m. as a receptionist to pay for her Yale degree—and she says ‘respect went up’ because of it
Success
Ex-PepsiCo CEO Indra Nooyi worked from midnight until 5 a.m. as a receptionist to pay for her Yale degree—and she says ‘respect went up’ because of it
By Preston ForeJuly 6, 2026
2 days ago
Shark Tank's Kevin O'Leary says if he were 25 today, he'd chase these two booming opportunities in the world of AI
AI
Shark Tank's Kevin O'Leary says if he were 25 today, he'd chase these two booming opportunities in the world of AI
By Marco Quiroz-GutierrezJuly 5, 2026
3 days ago
Iran strikes 85 U.S. military sites in the Gulf, sparking a global selloff in stocks and a spike in the price of oil
Newsletters
Iran strikes 85 U.S. military sites in the Gulf, sparking a global selloff in stocks and a spike in the price of oil
By Jim EdwardsJuly 8, 2026
10 hours ago
China’s birth rate just hit its lowest point since 1949—and Trip.com cofounder James Liang thinks that’s a threat to innovation
Asia
China’s birth rate just hit its lowest point since 1949—and Trip.com cofounder James Liang thinks that’s a threat to innovation
By Nicholas GordonJuly 7, 2026
2 days ago
Presidents aren't supposed to pick winners, former White House ethics lawyer says. Trump keeps choosing Dell
Politics
Presidents aren't supposed to pick winners, former White House ethics lawyer says. Trump keeps choosing Dell
By Mia OsmonbekovJuly 7, 2026
1 day ago
Current price of oil as of July 7, 2026
Personal Finance
Current price of oil as of July 7, 2026
By Joseph HostetlerJuly 7, 2026
1 day ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.