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Фармкомпании просто выживают (за исключением Pfizer):

Отсюда - http://www.nature.com/nrclinonc/journal/vaop/ncurrent/full/nrclinonc.2017.31.html

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Да, наверное вы правы - это чистый (net) профит:
...Despite these difficulties, what is known is that when costs and expenses are balanced, the biopharmaceutical industry continues to report double-digit profit margins, suggesting that revenues often substantially exceed outlays. Furthermore, spending on marketing routinely exceeds R&D spending for these companies, and net profits are generally high (Fig. 3)...

если так, то пфайзер - наглючие.

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