Generous corporations? A Maussian analysis of international drug donations

Abstract

In this article, I claim that using Marcel Mauss’ The Gift can prove fruitful in analyzing pharmaceutical donations, the role of interests in gift-giving, the complex intertwining of the domains of the gift and commerce, and in contributing to a theory of social justice. Drug donations refer to the practice of giving medicines “for free,” outside of the drug market, with the ultimate goal of reaching populations in need. So an object (a drug) otherwise sold on the market (even if sometimes at a subsidized price), and usually subject to a specific commercial process, enters a different circuit and distribution system. Yet, even if drug donations seem to break with the logic of exchange constitutive of the market, they are intimately linked to market dynamics. This is especially true in the case of corporate drug donations, because of the nature of the donor and the presence of ulterior motives. Accordingly, this practice can be explained with the help of a Maussian understanding of the gift, where gift-giving is not disinterested and does not have to result from pure altruism, but can very well be part of a larger process of accumulating wealth and power.