[A] the vicious rivalry among big pharmas.

大型制药公司之间的恶性竞争。

We had big pharma against us.

我们有大药业要对付我们。

Like big pharma, though, the biotech startups have struggled to make money from antibiotics.

虽然和大型制药公司一样，生物科技创业公司也难以从抗生素中赚钱。

And I'm not saying there aren't problems with big pharma.

我不是说大型药企没有问题。

In the eyes of a lot of people, big pharma is like big tobacco.

在很多人眼中，大型制药公司就像大型烟草。

But competing with big pharma on their own terms might not be the only way.

但以自己的方式与大型制药公司竞争可能不是唯一的方法。

As long as big pharma can get away with zero transparency and patent abuse, they will.

只要大型制药公司能够在零透明度和专利滥用的情况下逃脱惩罚，他们就会这样做。

Analysts have long complained that Novo's focus on diabetes-related illnesses make it the least diversified big pharma firm in Europe.

分析师长期以来一直抱怨说，Novo 专注于糖尿病相关疾病，使其成为欧洲多元化程度最低的大型制药公司。

And why would anyone ever suggest there was a benefit to nicotine, other than maybe the tobacco companies or big pharma?

除了烟草公司或大型制药公司之外，为什么有人会认为尼古丁有好处呢？

If software promises to save lives on the scale that drugs now can, big data may be expected to behave as a big pharma has done.

如果软件技术承诺其拯救生命的数量可以与当下的药物相匹敌，那么大数据也许有望像大型制药公司那样发挥作用。

After Maynard Howell left his job in big pharma to open a gym, he tattooed " breathe" on his right hand and " happy" on his left.

梅纳德·豪厄尔 (Maynard Howell) 辞去大型制药公司的工作，开了一家健身房后，他在右手纹了“呼吸”，在左手纹了“快乐”。

And we hope you will, Purdue's guilty plea will send a message that the Department of Justice will not allow big pharma and big tech to engage in illegal conduct that corrupts the doctor-patient relationship.

我们希望你会，普渡的认罪会传达一个信息，那就是司法部不允许大制药、大科技从事破坏医患关系的违法行为。

At the innovative, patented end of the market, meanwhile, eqrx and Checkpoint Therapeutics are developing new cancer and immunology drugs with the explicit intention of undercutting expensive existing therapies from big pharma.

与此同时，在创新的专利市场端，eqrx 和 Checkpoint Therapeutics 正在开发新的癌症和免疫学药物，其明确意图是削弱大型制药公司现有的昂贵疗法。

Now, to their credit, Congress is finally investigating the rising cost of insulin, but there is a long road between this investigation and real change, because big pharma companies like Eli Lilly are huge donors to congressional re-election campaigns.

现在，值得赞扬的是，国会终于开始调查胰岛素成本的上涨，但这项调查与真正的改变之间还有很长的路要走，因为像礼来这样的大型制药公司是国会连任竞选活动的巨额捐助者。