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

Trendingnow

1

After forcing workers back to the office, Goldman Sachs and JPMorgan Chase are now letting their staff work remotely—but only for the World Cup

2

The Pentagon said Iran War costs $29 billion, but the real cost is closer to $200 billion—and counting

3

Current price of oil as of June 23, 2026

1

After forcing workers back to the office, Goldman Sachs and JPMorgan Chase are now letting their staff work remotely—but only for the World Cup

2

The Pentagon said Iran War costs $29 billion, but the real cost is closer to $200 billion—and counting

3

Current price of oil as of June 23, 2026
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

How Home Depot is rebuilding retailing with AI
NewslettersCIO Intelligence
How Home Depot is rebuilding retailing with AI
By John KellJune 24, 2026
3 hours ago
bob
AIbooks
Robert Wright sees an ‘earthquake’ coming from AI that goes far beyond jobs: ‘cultural, political, personal, family, psychological’
By Nick LichtenbergJune 24, 2026
3 hours ago
Matt Garman
Successthe future of work
Amazon exec says AI won’t wipe out white-collar jobs—and is hiring 11,000 grads and interns, and has more developers than 2 years ago to prove it
By Preston ForeJune 24, 2026
5 hours ago
t
CommentaryWhite House
Trump mistakes the bully pulpit for bullying leadership — history’s villains were never heroes
By Jeffrey Sonnenfeld and Steven TianJune 24, 2026
8 hours ago
mg
CommentaryHealth
The ‘tech neck’ time bomb: why 43 million young Americans could cripple U.S. health care within a generation
By Michael GerlingJune 24, 2026
8 hours ago
Sarah Youngwood, EVP and CFO at Nasdaq.
C-SuiteFinance
Inside Nasdaq CFO Sarah Youngwood’s AI playbook
By Sheryl EstradaJune 24, 2026
9 hours ago

Most Popular

After forcing workers back to the office, Goldman Sachs and JPMorgan Chase are now letting their staff work remotely—but only for the World Cup
Success
After forcing workers back to the office, Goldman Sachs and JPMorgan Chase are now letting their staff work remotely—but only for the World Cup
By Orianna Rosa RoyleJune 23, 2026
1 day ago
The Pentagon said Iran War costs $29 billion, but the real cost is closer to $200 billion—and counting
Economy
The Pentagon said Iran War costs $29 billion, but the real cost is closer to $200 billion—and counting
By Jacqueline MunisJune 24, 2026
13 hours ago
Current price of oil as of June 23, 2026
Personal Finance
Current price of oil as of June 23, 2026
By Joseph HostetlerJune 23, 2026
1 day ago
Current price of gold as of June 23, 2026
Personal Finance
Current price of gold as of June 23, 2026
By Danny BakstJune 23, 2026
1 day ago
Texas and Charlotte used to build huge McMansions—now they're copying the California design tricks they once mocked
Real Estate
Texas and Charlotte used to build huge McMansions—now they're copying the California design tricks they once mocked
By Sydney LakeJune 22, 2026
2 days ago
Markets tumble worldwide as Fed resets expectations: $400 billion wiped off SpaceX stock
Banking
Markets tumble worldwide as Fed resets expectations: $400 billion wiped off SpaceX stock
By Jim EdwardsJune 23, 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.