
Book #100 of 2025:
No More Tears: The Dark Secrets of Johnson & Johnson by Gardiner Harris
An absolutely infuriating read detailing a half-century of increasing malfeasance at the vaunted pharmaceutical giant Johnson & Johnson. Author Gardiner Harris is an investigative journalist who’s spent years digging into these cases, but the most incredible part of the resulting exposé is how little of it represents truly breaking news. Much of this information has already been reported elsewhere; it just has somehow done minimal damage to the company’s sterling reputation.
(In fact, the one area where I’m a tad disappointed by the book is in the lack of a solid explanation for that persistent amnesia. The writer observes how J&J is still associated with nostalgic americana from its baby powder era, how the firm won widespread good will with its response to a case of Tylenol poisonings in the 1980s — voluntarily recalling millions of units and introducing new tamper-proof measures, while downplaying its own complicity in the attack — and how its influence has been known to quash or redirect negative coverage. But none of this quite accounts for the public’s seeming ability to shrug off repeated stories and lawsuits implicating the corporation.)
Seeing it all laid out here, with supporting evidence of internal memos from whistleblowers and discovery documents, is so devastating I hardly know how to summarize the matter. Over and over again, executives knew that particular drugs were harmful in the way they were being prescribed off-label, and yet continued to push those usages. Treatments that weren’t approved for children or the elderly were marketed to pediatricians and assisted living facilities, alongside lavish gifts from sales reps who were in turn openly encouraged to flout the law in their pitches. FDA directives were outright ignored when possible, or otherwise slow-walked in compliance to squeeze out more profits regardless of any identified danger. Johnson & Johnson also lobbied successfully to weaken that same federal watchdog, while using its existence to deflect in court that surely any problems would have been caught by its supposed protections.
Harris makes an early comparison to the notorious tobacco companies who misled customers about their own products for decades, and as it turns out, that’s not hyperbolic at all. The drug manufacturer likewise cultivated paid experts who could twist statistics to produce desired findings on demand and buried all the contrary studies that indicated harm. Most damningly, the conglomerate seems to have accepted death and other serious side effects for a percentage of consumers as the simple cost of doing business, recognizing that any government fine or legal settlement for wrongdoing would be vastly overshadowed by the ensuing fortune to be gained.
Individual bad actors get named, but to a certain extent, it’s really an indictment of the entire industry, if not unrestrained capitalism as a whole. There’s no easy solution to the predicament outlined here beyond asking readers to be more skeptical of what their doctors prescribe, which could obviously usher in its own set of unfortunate consequences. We want to be able to trust our physicians and believe they’ve been given reliable information on the options available for us and our loved ones — but when corporate greed takes over and infects that ecosystem, we all suffer from an ineffective regulatory state. As these pages make clear, the rot in the company culture at Johnson & Johnson has reached a critical mass that needs some sort of intervention at this point if it’s ever going to be cured.
★★★★☆
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