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A syringe and a vial of vaccine.
The first Pfizer-BioNTech COVID-19 vaccine dose in Canada sits ready for use at The Michener Institute in Toronto in mid-December 2020, less than a year from when the World Health Organization declared COVID-19 a pandemic. THE CANADIAN PRESS/Frank Gunn

Big Pharma’s COVID-19 reputation boost may not last — here’s why

The race for developing effective COVID-19 vaccines has put the pharmaceutical industry in the spotlight.

Over the past few months, the world has witnessed rapid clinical trials and approvals of several highly effective vaccines like Pfizer, Moderna and AstraZeneca. This unprecedented achievement has been made possible by close intra-industry, state industry and international collaborations.

Big Pharma’s proactive approach to vaccine development has also brought an unexpected consequence: its reputation has been notably enhanced since early 2020. A survey conducted in February 2021 found that almost two-thirds of Americans now give the pharmaceutical industry high marks.

But reputation risks loom even as pharma companies are being celebrated as pandemic heroes.

The controversy over the AstraZeneca vaccine’s potential serious side-effects is a prime example. The English company has experienced a public backlash due to a lack of a crisis response plan and conflicting messages delivered by different stakeholders.

AstraZeneca sign on the side of a building.
The global headquarters of AstraZeneca in London. (AP Photo/Kirsty Wigglesworth)

Will the reputation boost enable the pharmaceutical industry to fundamentally rebuild its negative public image? As someone who researches public relations, I believe that only by prioritizing socially responsible practices can Big Pharma achieve true reputation redemption.

Big Pharma’s damaged reputation

Prior to the COVID-19 pandemic, the pharmaceutical industry had been battling reputational damage for years. Notably, it sank to the bottom of Gallup’s August 2019 United States industry favourability poll, with a total positive score of only 27 per cent. According to Gallup’s analysis, high drug costs, massive advertising and lobbying spending and the opioid crisis have all tarnished the industry’s public image.


Read more: Oxycontin: how Purdue Pharma helped spark the opioid epidemic


This is consistent with public relations research conducted in Europe. In a qualitative analysis published by Public Relations Inquiry, a team of Ghent University researchers analyzed how Belgian pharma companies responded to the pervasive “Bad Pharma” public image.

Their analysis revealed that Bad Pharma perceptions reflected larger societal issues, including widening income and health gaps. The public expects the pharmaceutical industry to save and improve lives by developing innovative, affordable and effective medicines. Accordingly, the industry loses trust when the public believes its actions and motives are at odds with those expectations. Such a decline in public trust can’t be easily fixed by corporate responsibility reports or public relations campaigns.

The pharmaceutical industry’s reputational challenges also correlate to how the media covers it. A 2020 analysis of Big Pharma-related coverage found that the majority of stories were neutral and involved reporting on topics like finances, stocks, profits, mergers, acquisitions and restructuring. Coverage is more negative when it delves, less often, into more sentimental topics.

In other words, the media mostly reports on Big Pharma from a business perspective instead of from a social and public health perspective. This lack of media attention to the industry’s social responsibilities contributes to growing public distrust of it in recent years.

A man holds a sign that reads Drug Users Deserve Health Care with Heart.
A man holds a sign in Vancouver in 2017 during a march on the first National Day of Action to draw attention to the opioid overdose epidemic. THE CANADIAN PRESS/Darryl Dyck

Risks underlie vaccine-led reputation boost

Considering the above factors, it’s unsurprising that the pharmaceutical industry’s all-hands-on-deck efforts on COVID-19 vaccines, in combination with extensive media coverage, has resulted in a substantial improvement in public sentiment. According to a survey conducted by think tank Data for Progress in March 2021, 56 per cent of respondents had a favourable view of pharmaceutical companies, double the rating of Gallup’s 2019 poll.

Nonetheless, a closer look at the data reveals two caveats.

First, drug costs remain the top concern for the public. The Data for Progress survey suggests that 72 per cent of American voters support policy measures that would lower the cost of prescription drugs. The pharma industry, meantime, insists that the discounted prices it’s currently offering for COVID-19 vaccines will not last very long.

Vaccine prices to rise?

In February, Pfizer CFO Frank D'Amelio said in a call with Wall Street analysts that after the pandemic, Pfizer is “going to get more on price” and hinted there would be a substantial price increase for its COVID-19 vaccine.

Two men sit in front of a Pfizer sign.
Pfizer Canada executives hold a news conference in Montréal in 2012. THE CANADIAN PRESS/Graham Hughes

The company currently charges US$19.50 per dose for its vaccine, but the typical price is $150 to $175 per dose for other vaccines it sells. If implemented, this aggressive pricing policy would undoubtedly result in public criticism, especially from developing countries that have already been neglected during the first round of global vaccine allocation.


Read more: Global herd immunity remains out of reach because of inequitable vaccine distribution – 99% of people in poor countries are unvaccinated


Second, the remarkable speed of research and innovation achieved during COVID-19 vaccine development is mainly due to intensive government funding support and concerted collaborations across multiple sectors. It’s uncertain whether these special measures herald the arrival of a new model in which governments have better regulation over Big Pharma issues like patent control, advertising, clinical data transparency and spending on lobbying.

If the pharmaceutical industry wants to achieve the ultimate image makeover, it must capitalize on the current goodwill by prioritizing socially responsible practices. That begins with fairer drug pricing and a genuine commitment to resolving public health disparities.

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