December, 15 2023, 08:49am EDT

$6 Billion in PhRMA Network Grants Flood the Non-Profit World, Muddying the Advocacy Landscape
A new report by Public Citizen has uncovered that the Pharmaceutical Research and Manufacturers of America (PhRMA) and its member pharmaceutical companies — the PhRMA Network — have showered the nation’s largest patient advocacy groups, universities, professional associations, and more, with at least $6 billion in grants.
“PhRMA Network companies are not mission-driven charities — they have a hardline, profit-driven political agenda that is frequently in conflict with the best interests of Americans.” said Mike Tanglis, research director for Public Citizen’s Congress Watch division and author of the report. “While exactly what the PhRMA Network gets in return for their money no doubt varies by recipient, its vast reach and influence allows the Network to flood the zone with pro-Big Pharma talking points and suppress dissent.”
For this report, Public Citizen analyzed hundreds of documents that included corporate and foundation grants dispersed by the PhRMA Network from 2010 through 2022. Notable findings include:
- $6 billion in grants to more than 20,000 recipients. The total includes close to $600 million on average over the last five years.
- 13 of the nation’s largest and most powerful patient advocacy organizations received more than $10 million from the PhRMA Network. In total, the 13 received $266 million.
- Many examples of potential and real conflicts of interest, including the manufacturers of expensive drugs donating millions to the patient organizations representing the interests of those the drug aims to help, op-eds published by PhRMA Network grant recipients criticizing government efforts to rein in drug prices, and lobbyists lobbying for both grant recipient and PhRMA Network donor.
- Over the last five years, PhRMA Network grant recipients hired 392 lobbyists that were also hired by the grant recipients’ PhRMA Network donors (i.e. an organization receives millions from Eli Lilly and hires the same lobbyist as Eli Lilly). 128 of these lobbyists were hired to lobby on the same bills by both grant recipient and their PhRMA Network donor.
“The PhRMA Network is a formidable force on Capitol Hill, fighting common sense attempts to improve access to the medicines people need to survive,” said Steve Knievel, an advocate for Public Citizen’s Access to Medicines program. “As the White House implements Medicare drug price negotiation and Congress considers further reforms to lower the cost of drugs, this research will be essential for advocates, policy-makers, and political leaders who need to understand which organizations receive PhRMA Network grants and the potential conflicts of interest that they pose.”
To request an interview or further information on the report, please contact Emily Leach at eleach@citizen.org. The full report, available here, includes a visualization of the vast PhRMA grants universents universe.
Public Citizen is a nonprofit consumer advocacy organization that champions the public interest in the halls of power. We defend democracy, resist corporate power and work to ensure that government works for the people - not for big corporations. Founded in 1971, we now have 500,000 members and supporters throughout the country.
(202) 588-1000LATEST NEWS
House GOP to Skip Town Early for Holiday Recess as Healthcare Premiums Soar, Epstein Files Loom
"The same GOP that voted last summer to give the richest Americans and most profitable companies trillions of dollars in tax cuts somehow can't find the funds this winter to ensure 20 million Americans can afford their health insurance."
Dec 18, 2025
The US House was originally scheduled to be in session on Friday, but the Republican leadership gave members a green light to skip town on Thursday for the two-week holiday recess without voting to prevent massive health insurance premium hikes for tens of millions of Americans.
The decision to let members leave early came after House Democrats secured enough support from swing-district Republicans to force a vote on legislation that would extend Affordable Care Act (ACA) subsidies that are set to expire on December 31, sending premiums soaring.
Democrats on Wednesday demanded an immediate vote on the proposed three-year extension of the ACA tax credits, but Republicans instead pushed to the floor and passed their own healthcare bill that would leave around 100,000 more Americans uninsured per year over the next decade—on top of the millions set to lose coverage due to the expiration of the enhanced subsidies.
The GOP bill is doomed to fail in the narrowly Republican-controlled Senate, which voted down a Democratic push for an extension of the subsidies earlier this month.
More than 20 million Americans relied on the tax credits to afford health insurance. With their expiration, ACA marketplace premiums are set to more than double on average, pricing many people out of coverage entirely.
"Congressional Republicans could have followed through on their promises to help families afford the basics by extending the premium tax credit enhancements to help them enroll in affordable, comprehensive coverage. Instead, they recycled old ideas, refused to address the current affordability crisis—and made plans to go home," Sharon Parrott, president of the Center on Budget and Policy Priorities, said in a statement Wednesday.
"On the brink of this deadline, some Republicans have recognized that the stakes for families are too high to do nothing," Parrott added, pointing to the four GOP lawmakers who signed the discharge petition. "A House bill to extend the premium tax credit enhancements now has the required signatures on its discharge petition to force a vote on the House floor. Republican policymakers should step up and put the needs of individuals and families first."
"If Speaker Johnson refuses to bring forth the vote, he’s telling the American people loud and clear that rising healthcare costs are acceptable to him."
It's unclear when the discharged House Democratic bill will get a vote, as the chamber is not scheduled to return until January 6, 2026—after the ACA tax credits expire.
"If Speaker Johnson refuses to bring forth the vote, he’s telling the American people loud and clear that rising healthcare costs are acceptable to him," said Rep. Jasmine Crockett (D-Texas), who is running to unseat Sen. John Cornyn (R-Texas) in next year's midterm election.
David Kass, executive director of Americans for Tax Fairness, said in a statement Thursday that "instead of siding with millions of everyday Americans, they voted to increase healthcare costs which will now put affordable coverage out of reach for millions."
"Congressional Republicans once again revealed whose side they're on," said Kass. "The same GOP that voted last summer to give the richest Americans and most profitable companies trillions of dollars in tax cuts somehow can't find the funds this winter to ensure 20 million Americans can afford their health insurance."
The House Republican leadership's decision to start the holiday recess also came ahead of the Friday deadline for the Trump administration to release most of the Epstein files, as required by recently enacted legislation.
"View all political developments for the rest of the week in light of the fact that the Epstein files are supposed to be released on Friday," said Rep. Alexandria Ocasio-Cortez (D-NY). "House Republicans just suddenly cancelled congressional session Friday and are sending everyone home Thursday evening."
Keep ReadingShow Less
63% of US Voters Oppose Attack on Venezuela as Trump's March to War Accelerates
The new poll comes as the US president openly plots to seize Venezuela’s oil supply.
Dec 18, 2025
President Donald Trump has taken increasingly aggressive actions against Venezuela in recent weeks, but a new poll released Wednesday shows US voters are not on board with a new war.
A new poll from Quinnipiac University found that 63% of voters oppose military operations inside Venezuela, with just 25% registering support.
What's more, a US military strike in Venezuela would draw significant opposition even from Republican voters, 33% of whom told Quinnipiac that they would oppose such an action. Eighty-nine percent of Democratic voters and 68% of independent voters said they were opposed to a US military campaign in Venezuela.
Trump's policy of bombing suspected drug trafficking boats in international waters, which many legal experts consider to be acts of murder, drew significantly less opposition in the new survey than a prospective attack on Venezuela, but it is still unpopular, with 42% in favor and 53% opposed.
A potential war is also unpopular with Venezuelans, as a recent survey from Caracas-based pollster Datanalisis found 55% opposed to a foreign military attack on their nation, with 23% in favor.
The Trump administration's boat strikes, which have now killed at least 99 people, have been just one aspect of its campaign of military aggression against Venezuela. The US military last week seized a Venezuelan oil tanker, and Trump has said that it's only a matter of time before the military launches strikes against targets inside the country.
Trump on Wednesday also said that one goal of his campaign against Venezuela would be to seize the country's oil supply.
“Getting land, oil rights, whatever we had—they took it away because we had a president that maybe wasn’t watching,” Trump said while talking to reporters. “But they’re not gonna do that. We want it back. They took our oil rights. We had a lot of oil there. They threw our companies out. And we want it back."
Venezuela first nationalized its oil industry in 1976, and the US has no legitimate claim to the nation's petroleum supply.
Keep ReadingShow Less
AOC Dismisses Premature 2028 Polls, But Says ‘I Would Stomp’ JD Vance
A survey this week showed the congresswoman leading the vice president 51-49 in a hypothetical presidential matchup.
Dec 18, 2025
Rep. Alexandria Ocasio-Cortez gave a cheeky reaction after a poll suggested that she'd slightly edge out Vice President JD Vance in a hypothetical presidential election in 2028.
The survey of over 1,500 registered voters, published Wednesday by The Argument/Verasight, showed Ocasio-Cortez (D-NY) leading Vance 51-49 and winning back several key voting demographics that propelled Trump's return to the White House last year.
As she walked out of the Capitol building Wednesday evening, the Bronx congresswoman was asked about the poll by Pablo Manríquez, the editor of Migrant Insider.
She responded to the question with a laugh: "These polls three years out, they are what they are. But, let the record show I would stomp him! I would stomp him!" she said before getting into her car.
Neither Ocasio-Cortez nor Vance has officially announced a presidential run. But Vance is considered by many to be a natural successor to President Donald Trump. The president and his allies have suggested he could run for an unconstitutional third term.
Ocasio-Cortez, meanwhile, is reportedly mulling either a presidential run or a bid to take down the increasingly unpopular Senate Minority Leader Chuck Schumer (D-NY).
More than two years out from a Democratic primary, Ocasio-Cortez is considered a likely choice to fill the progressive lane in 2028, with support for increasingly popular, affordability-focused policies, including Medicare for All.
However, despite her strong support among young voters, early polls show her behind California Gov. Gavin Newsom and former Vice President Kamala Harris for the Democratic nomination.
Wednesday's poll showed that in a hypothetical contest against Vance, Newsom had a 53% to 47% edge, a margin only slightly larger than Ocasio-Cortez's.
Keep ReadingShow Less
Most Popular


