California

They don’t say “big auto,” or “big electricity.” That’s because there are no small, mom ‘n pop car companies, electrical generators, coal producers, iron smelters, or pharmaceutical companies, etc. Even pharma startups are pretty big, and certainly require big funding, and may be producing some of the most astronomically expensive drugs if they ever get to market. The only companies that love to keep the word in use are the non-legitimate pharma companies, the supplement peddlers (often also large, massively overpriced, and making dubious claims for poorly controlled products), or the outright snake-oil peddlers. It’s time to stop using terminology that only serves as a marketing gimmick for companies that keep people sick, or even make them sick.