Introduction : drugs are different -- The $200 billion colossus -- The creation of a new drug -- How much does the pharmaceutical industry really spend on R & D? -- Just how innovative is this industry? -- "Me-too" drugs : the main business of the pharmaceutical industry -- How good are new drugs? -- The hard sell : lures, bribes, and kickbacks -- Marketing masquerading as education -- Marketing masquerading as research -- Patent games : stretching out monopolies -- Buying influence : how the industry makes sure it gets its way -- Is the party over? -- How to save the pharmaceutical industry, and get our money's worth.