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Content Warning: This section of the guide includes discussion of mental illness.
Gardiner Harris opens with an anecdote describing how he first became interested in unethical and illegal activities at Johnson & Johnson (J&J), a major American pharmaceuticals, home care, and medical device conglomerate. In March 2004, Harris was at a bar at Chicago O’Hare Airport when he began talking with a woman who worked as a “pharmaceutical sales rep for Janssen, Johnson & Johnson’s biggest drug unit” (xi). The sales rep told Harris that she had recommended her sister take her son, the rep’s nephew, to a psychologist to whom she had sold Risperdal, a medication for schizophrenia, in order to address his behavioral issues.
The drug rep was shocked how quickly the psychiatrist put her nephew on Risperdal and her nephew’s resulting weight gain. She realized that the company’s claims that the drug did not cause diabetes or metabolic problems were false. The drug rep felt “sick” at how much she had pushed the drug to the psychiatrist to use in children’s treatment, even though it was not approved for children. The drug rep had resolved to quit. (Later, the company admitted it had made misleading claims about Risperdal.)
Despite this “shady” behavior, J&J is widely admired in the business world as an ethical, reliable company. Harris notes that he grew up in Princeton, NJ, where the Robert Wood Johnson II Foundation is headquartered and the company is “revered.” However, when Gardiner began covering the pharmaceutical industry in 1999, he was puzzled by the company’s secrecy. After decades at the Wall Street Journal and the New York Times, he decided to get to the bottom of J&J’s unethical behavior.
No More Tears covers nine J&J products and the unethical and illegal practices of the company around those products. Throughout, Gardiner critiques the company as well as the Food and Drug Administration (FDA) for its lack of oversight, the media for believing the company’s image, and the medical professionals who enabled its abuses.
Gardiner Harris is a career investigative reporter who has covered public health, corporate malfeasance, regulatory capture, and attempted cover-ups since the 1990s. In the Introduction to No More Tears, Harris uses traditional journalistic techniques to preface his critique of the medical conglomerate Johnson & Johnson. First, he opens his account with a personal anecdote to emphasize the human drama and intrigue in what could otherwise be a dry account of medical malpractice and The Lack of Corporate Ethics and Accountability. It effectively introduces Harris as a character within this narrative. For instance, one gets a sense of Harris’s history and personal sense of humor when he writes, “I’d spent most of the 1990s in Kentucky and knew enough rapid college basketball fans to know I should keep my trap shut while the game was on” (xi).
Harris establishes the stakes of Johnson & Johnson’s “shady” practices by describing how the J&J drug rep’s own family was negatively impacted by her own role in “pushing” Risperdal’s use in children. This opening anecdote also attempts to create intrigue when it concludes, “I never saw or heard from [the drug rep] again” (xiv). This gives a sense of the dangers that whistleblowers and other staff at J&J face in coming forward with their concerns about the company’s practices, as well as the difficulty of getting people with knowledge to talk to a reporter.
Harris makes it seem as if this chance encounter with a J&J drug rep in Chicago was what drove him to investigate J&J. However, this is something of an artificial framing for the sake of the narrative. He notes later that he had become aware of J&J’s secrecy by 1999. Further, the company was solidly within his reporting beat of the pharmaceutical industry. Even so, this slight artifice does not detract from the overall reliability of his reporting as a seasoned journalist who provides extensive endnotes to justify his claims.
Traditional journalists like Gardiner Harris do not typically foreground their personal connections to their reporting as they often wish to appear objective, rather than subjective, in their work. In No More Tears, however, Harris takes a much more argumentative tone than would be found in his newspaper reporting. To preface this more subjective approach in the Introduction, he includes his personal connection to J&J, noting that in Princeton, New Jersey, where he spent his teens, the company was a core part of the fabric of the community.



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