© 2015

Good Pharma

The Public-Health Model of the Mario Negri Institute

  • Authors


  • Explores the public health model of the Mario Negri Institute

  • Offers a sociological perspective on the drug development process

  • Proposes a new standard for pharmaceutical companies


Table of contents

  1. Front Matter
    Pages i-xviii
  2. Introduction

    1. Donald W. Light, Antonio F. Maturo
      Pages 1-16
  3. Developing a Research Institute for Society

    1. Front Matter
      Pages 17-17
    2. Donald W. Light, Antonio F. Maturo
      Pages 35-60
    3. Donald W. Light, Antonio F. Maturo
      Pages 61-89
    4. Donald W. Light, Antonio F. Maturo
      Pages 91-116
  4. Reconceiving the Aims of Pharmacological Research

    1. Front Matter
      Pages 117-117
    2. Donald W. Light, Antonio F. Maturo
      Pages 119-131
    3. Donald W. Light, Antonio F. Maturo
      Pages 133-157
  5. Promoting Good Science for Better Medicines

    1. Front Matter
      Pages 159-159
    2. Donald W. Light, Antonio F. Maturo
      Pages 161-178
    3. Donald W. Light, Antonio F. Maturo
      Pages 179-196
    4. Donald W. Light, Antonio F. Maturo
      Pages 197-217
  6. Back Matter
    Pages 219-280

About this book


Drawing on key concepts in sociology and management, this history describes a remarkable institute that has elevated medical research and worked out solutions to the troubling practices of commercial pharmaceutical research. Good Pharma is the answer to Goldacre's Bad Pharma: ethical research without commercial distortions.


Bioethics medical sociology science policy pharmaceutical policy patenting pharmacological research medical ethics clinical trials big pharma drug effectiveness pharmaceuticalization bioethics clinical trial culture environment ethics health organizations pharmaceutical pharmacology

About the authors

Donald W. Light is Professor of Comparative Health Policy at Rowan University, USA and has published widely in major medical and sociological journals on ethical as well as sociological issues. Recently, he served as the Lokey Visiting Professor at Stanford University, USA and as a Visiting Fellow at Harvard University, USA.

Antonio Maturo is Associate Professor of Sociology of Health at Bologna University, Italy and Visiting Professor at Brown University, USA. He has published several books in Italian and he has edited The Medicalization of Life (2009, with P. Conrad) and The Medicine of Emotions and Cognitions (2012, with K. Barker).

Bibliographic information


“Good pharma is a fascinating story and a must read for all those who believe that something is not right about the way we incentivise medical research today. Both laypersons and specialists in the field will find something to think about in a book that is full of delectable nuggets of information interspersed in the story of Silvio Garattini and the Mario Negri Institute.” (Amit Sengupta, Indian Journal of Medical Ethics, August, 2016)

“By offering a sociological perspective on the drug development process, this book presents an alternative perspective to mainstream pharmaceutical drug production focused on patenting and profit while ignoring public-health needs. … The book shows how personal life events and experiences collided to lead to the founding of the institute. … a welcome addition to the sociology of health and medicine and would likely appeal to those interested in critical perspectives of pharmaceuticals, health and the regulation of clinical trials.” (Shadreck Mwale, Sociology of Health & Illness, June, 2016)

“The authors document what they see as the generalizable best practices of this pharmacological research institution, which is based in Milan and has centers in two other Italian cities. … Some readers may already be familiar with the litany of complaints about the pharmaceutical industry, as well as the proposed best practices chronicled in Good Pharma. Even for them, the book may be worth reading.” (Jennifer E. Miller, Health Affairs, Vol. 34 (12), 2015)

“Good Pharma tells the story from 1961 to present of the origins and development of the Instituto di Ricerche Farmacologiche Mario Negri, named after its endower, a Milanese jeweller-philanthropist. … Good Pharma is worth reading and digesting as it documents how the Negri model has produced some outstanding successes, such as the GISSI trials, and makes a strong case for viewing pharmacological research as a long-term risky investment.” (Drug and Therapeutics Bulletin of Navarre, Vol. 23 (2), 2015)