Pharmocracy

"This book offers the most incisive, compelling analysis yet of the multinational pharmaceutical industry—of the mechanisms by which health is appropriated by capital, and the empirically distinct ways in which this takes place in different locations across the globe. As Kaushik Sunder Rajan makes plain, the 'pharmocracy' thus produced is no mere instrument of profit maximization: it also yields complex regimes of governance, knowledge, and ethics that are contested and rendered political in unpredictable, polarizing ways. The account is a tour de force in the study of bioscience, value, and the nature of power in our times." - Jean Comaroff, coauthor of The Truth about Crime: Sovereignty, Knowledge, Social Order

"Pharmocracy is deeply unsettling, taking world systems ethnography and postcolonial science and technology studies in new directions with its intricate account of how the global pharmaceutical industry is making its mark in contemporary India. Superbly written and argued, Pharmocracy examines the fate of science and innovation, public health, and democracy while telling of next-generation imperialism and of the many nodes and modes of politics engendered by contemporary structural conditions. It is also a story about and a call for governance. One comes away both sobered and impressed by Indian institutions." - Kim Fortun, author of Advocacy after Bhopal: Environmentalism, Disaster, New Global Orders

"Through extensive ethnographic interviewing of a range of individuals from patients to parents, from the producer of generic drugs in India to civil society advocates in both the Gleevec and Gardasil cases, Pharmocracy provides a rich account of some of the more complex emotive concerns surrounding these moral, legal and financial questions of knowledge, value and politics. These are substantiated with in-depth triangulation of policy and legal documentation and philosophical thought. It is expertly researched and presented by a world-leading academic in the field who has devoted considerable research to the moral and philosophical concerns of the biomedical." - Clare Wenham, LSE Review of Books

"Kaushik Sunder Rajan’s highly anticipated book Pharmocracy is a rich, multilayered look at the pharmaceutical industry in India. . . . Sunder Rajan provides an insightful analysis of the regimes of value of the Indian pharmaceutical industry as it has become increasing aligned with the multinational pharmaceutical industry." - Anne Pollock, Medical Anthropology Quarterly

"Pharmocracy draws attention to the myriad forms of labor mobilized by the pharmaceutical (legal, clinical, volunteer, affective, and political) as well as the unruly properties of biological life itself and the growing ability to harness its (re)generative energies. These are vital questions, given how much pharmaceuticals have come to matter—as economic force, governmental conundrum, and active agent in the lives of humans and increasingly the environment— and to Pharmocracy we owe the debt of having begun to ask them." - Vinh-Kim Nguyen, Current Anthropology

"Pharmocracy is an important and essential book, one that pays attention to these multiple iterations of power across institutions, industries, legal regimes, and place. It is one of the first ethnographic studies that articulates the politics of global biomedicine through several sites of analysis: clinical research, treatment access, trade-related intellectual property, and the future of generic drug manufacturing." - Kristin Peterson, Biosocieties

"Presents an impressively holistic view of the world. . . . There is much to be praised in this book. The aims are very ambitious, and Sunder Rajan lays out no fewer than nineteen points of intersection around value, knowledge, and representation in the introduction. . . . It is in these representations of scale that Sunder Rajan’s work really shines." - Jennifer J. Carroll, Journal of the Royal Anthropological Institute

"Pharmocracy is an important discussion of events involving the Indian government, pharmaceutical companies—Indian and multinational—and civil society organizations. . . . A valuable addition to the social science of global medicine, its political economy, and its limitations." - Roger Jeffery, American Journal of Sociology

"Pharmocracy very effectively provincialises the global bioeconomy and its assumptions of universal norms, unsettling assumptions inbuilt in technical regimes, including intellectual property rights. . . . Sunder Rajan provides a very valuable, engaging, and critical postcolonial analysis of current global pharmaceutical governance structures." - Eva Hilberg, Sociology of Health & Illness

"[Sunder Rajan] demonstrates how conflicting global narratives about public health, (intellectual) property, and law shape the ways that pharmaceuticals and humans are treated and commodified." - Anjali Vats, Quarterly Journal of Speech

". . . The argument Sunder Rajan presents is a compelling one.… This is a text that will surely be often referenced in any discussion of access to medicines in years to come." - Sara L.M. Davis, PoLAR