No it's not. Lobbying in that reported sense is also a very small slice of persuading politicians and regulators and bureaucrats. PHRMA plays big in politics,

No it's not. Lobbying in that reported sense is also a very small slice of persuading politicians and regulators and bureaucrats. PHRMA plays big in politics, 501c4 space etc. They also are known for the revolving door which is hard to quantify, but surely it makes a big difference on regs. Look at the Purdue, they got the regulator responsible for approving the label to actually sit in a hotel room and help write their oxy label together... Here's an article shows "in the US from 1999 to 2018, found that the pharmaceutical and health product industry spent $4.7 billion, an average of $233 million per year, on lobbying the US federal government; $414 million on contributions to presidential and congressional electoral candidates, national party committees, and outside spending groups; and $877 million on contributions to state candidates and committees." https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054854/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054854/