Bottle of lies

Many have hailed the widespread use of generic drugs as one of the most important public-health developments of the twenty-first century. Today almost 90 percent of our pharmaceutical market is comprised of generics the majority of which are manufactured overseas. We have been reassured by our doctors our pharmacists and our regulators that generic drugs are identical to their brand-name counterparts just less expensive. But is this really true? Katherine Eban’s Bottle of Lies exposes the deceit behind generic-drug manufacturing — and the attendant risks for global health. Drawing on exclusive accounts from whistleblowers and regulators as well as thousands of pages of confidential FDA documents Eban reveals an industry where fraud is rampant companies routinely falsify data and executives circumvent almost every principle of safe manufacturing to minimize cost and maximize profit confident in their ability to fool inspectors. Meanwhile patients unwittingly consume medicine with unpredictable and dangerous effects. The story of generic drugs is truly global. It connects middle America to China India sub-Saharan Africa and Brazil and represents the ultimate litmus test of globalization: what are the risks of moving drug manufacturing offshore and are they worth the savings? A decade-long investigation with international sweep high-stakes brinkmanship and big money at its core "Bottle of Lies" reveals how the world’s greatest public-health innovation has become one of its most astonishing swindles.