Introduction: Beyond the Geopolitical Narrative
The United States government’s protracted and ultimately successful legislative campaign to force the sale or nationwide ban of the social media platform TikTok has been publicly framed almost exclusively as a matter of national security. The central argument, articulated by a rare bipartisan coalition of lawmakers and intelligence officials, posits that the platform’s ownership by the Chinese technology conglomerate ByteDance presents an intolerable risk of data harvesting and foreign influence operations directed by the Chinese Communist Party. This narrative, centered on a geopolitical rivalry between two global superpowers, has dominated public discourse and provided a potent justification for an unprecedented legislative intervention into the digital lives of over 150 million Americans.
However, a comprehensive analysis of TikTok’s disruptive history in the United States reveals that this national security rationale, while not without foundation, conveniently aligns with and perhaps obscures a powerful undercurrent of domestic corporate and political interests. Long before the Protecting Americans from Foreign Adversary Controlled Applications Act (PAFACA) was signed into law in April 2024, TikTok had established itself as a uniquely potent and unpredictable force in American culture and politics. Its proprietary algorithm, a powerful engine for virality, created an information ecosystem that repeatedly challenged, embarrassed, and undermined some of the nation’s most powerful institutions.
From teenage activists derailing a presidential rally to viral videos sparking global outrage over pharmaceutical price gouging, TikTok has demonstrated an unparalleled ability to amplify user-generated content into real-world consequences. Federal regulatory bodies, most notably the Food and Drug Administration (FDA), have been repeatedly forced into a reactive posture, issuing public health warnings about dangerous viral challenges that spread faster than they could be contained. The pharmaceutical industry, in particular, has found its carefully managed public image and business model under a multi-pronged assault. The platform has become a super-spreader of health misinformation and anti-vaccine sentiment that directly challenges the credibility of approved medicines, while simultaneously serving as a powerful megaphone for authentic patient testimonials that expose the human cost of exorbitant drug prices.
This report deconstructs the timeline of these disruptive events, mapping the platform’s evolution from a source of entertainment to a forum for unscripted public scrutiny. It will analyze the specific threats TikTok’s decentralized and authentic-feeling content poses to the pharmaceutical industry’s control over health narratives, product reputation, and profitability. Finally, it will trace the vast financial and political influence networks—through lobbying, campaign finance, and the funding of policy groups—that connect these powerful corporate interests to the legislative push for a ban. The objective is to present a more nuanced understanding of the forces arrayed against TikTok, demonstrating that the bipartisan consensus was forged not only in the secure briefing rooms of national security agencies but also in the boardrooms of corporations that saw their authority, narratives, and profits critically threatened by the platform’s democratized power. The campaign to ban TikTok, this report argues, represents a profound convergence of interests, where the specter of foreign influence provided the ideal vehicle for a powerful cross-section of the American establishment to neutralize a domestic force it could neither predict nor control.
The Platform as Public Forum: A Timeline of Unscripted Consequences
TikTok’s explosive growth since the late 2010s created a new kind of public square, one governed by an opaque but highly effective algorithm that could elevate a 60-second video from total obscurity to global phenomenon in a matter of hours. This dynamic proved to be a double-edged sword. While it fostered creativity and connection, it also enabled the rapid, decentralized mobilization of users and ideas in ways that repeatedly caught established institutions off guard. The following timeline details a series of key viral moments that illustrate the platform’s power to create real-world political, public health, and corporate crises, demonstrating a consistent pattern of institutional authority being challenged and, in many cases, visibly eroded.
Political and Geopolitical Flashpoints
The platform’s potential as a tool for political speech and activism first came into sharp focus through incidents that highlighted its Chinese ownership and its capacity to influence American politics.
Late 2019: The Uyghur “Makeup Tutorial” and the Censorship Backlash
In November 2019, a seminal event marked the first time TikTok’s content moderation policies were scrutinized on a global stage for potential deference to the Chinese government. Feroza Aziz, a 17-year-old American, posted a series of videos that began as an innocuous eyelash-curling tutorial before abruptly shifting to a plea for viewers to research China’s mass internment of Uyghur Muslims in Xinjiang. In the clip, which quickly amassed over 1.4 million views on TikTok and millions more on other platforms, Aziz described the situation as “another Holocaust” and accused China of throwing “innocent Muslims” into “concentration camps” where they were subjected to kidnapping, rape, and forced conversion.
Shortly after the videos went viral, TikTok suspended Aziz’s account. The action was widely interpreted as an act of censorship intended to appease Beijing, embarrassing TikTok’s parent company, ByteDance, and raising alarms in Washington about the potential for a Chinese-owned app to manipulate political discourse in the U.S.. TikTok vehemently denied the accusation, claiming the suspension was a “human moderation error” and later issuing a formal apology to Aziz. The company clarified that a previous account belonging to Aziz had been banned for posting a video of Osama bin Laden, which violated its policies against terrorist content, but that her new account and the viral Uyghur video should not have been affected. Despite the apology, the incident provided early and potent ammunition for U.S. politicians and critics who viewed the platform as a potential vector for foreign censorship and influence.
June 2020: The Tulsa Rally Sabotage and Presidential Humiliation
Six months later, TikTok’s power to influence American politics was demonstrated in a far more direct and disruptive manner. In a famed act of digital activism, a decentralized coalition of teenagers and K-pop fans used the platform to coordinate a prank aimed at sabotaging President Donald Trump’s campaign rally in Tulsa, Oklahoma, on June 20, 2020. After the Trump campaign boasted of receiving over one million ticket requests for the event, users on TikTok urged their followers to register for the free tickets en masse and then fail to show up.
The effort, reportedly spearheaded by users like Mary Jo Laupp, known as “#TikTokGrandma,” was wildly successful. The result was a sea of empty blue seats in the 19,000-seat BOK Center, a stark and humiliating visual for a campaign that had been touting overwhelming enthusiasm. The Trump campaign publicly dismissed the role of the TikTok prank, blaming the low turnout on protesters and negative media coverage. Campaign manager Brad Parscale stated, “Leftists and online trolls doing a victory lap, thinking they somehow impacted rally attendance, don’t know what they’re talking about”.
However, the event was widely perceived as a significant political embarrassment, directly attributable to the platform’s ability to mobilize a large, anonymous collective for political action. Prominent political opponents, including Representative Alexandria Ocasio-Cortez, publicly celebrated the prank, tweeting at Parscale, “Actually you just got ROCKED by teens on TikTok”. The incident underscored TikTok’s disruptive potential in a way that directly impacted a sitting U.S. president. It is notable that just weeks later, in July 2020, the Trump administration announced it was seriously considering a nationwide ban on TikTok, ostensibly over national security concerns. A TikTok employee would later allege in a lawsuit that the proposed ban was, in fact, direct retaliation for the Tulsa rally stunt [en.wikipedia.org].
Public Health Alarms and Regulatory Scrambles
Beyond the political arena, TikTok’s algorithm proved equally potent at amplifying user-generated content related to health, often with dangerous consequences. This repeatedly forced the FDA and major pharmaceutical companies into a reactive and challenging position of public health damage control.
September 2020: The “Benadryl Challenge” and the FDA’s Reactive Warning
In mid-2020, a perilous trend known as the “Benadryl Challenge” began circulating on TikTok, encouraging users, primarily teenagers, to ingest dangerous doses of the over-the-counter allergy medicine diphenhydramine (Benadryl) to induce hallucinations. As reports emerged of teenagers being hospitalized and at least one 15-year-old girl in Oklahoma dying after participating, the trend escalated into a public health crisis.
On September 24, 2020, the FDA was compelled to issue a formal public warning about the challenge. The agency stated that overdosing on Benadryl could lead to “serious heart problems, seizures, coma, or even death” and confirmed that it had “contacted TikTok and strongly urged them to remove the videos from their platform”. The incident also created a significant public relations crisis for the drug’s manufacturer, Johnson & Johnson. The company issued its own public statement condemning the trend as “extremely concerning, dangerous and should be stopped immediately” and confirmed that it was actively working with TikTok and other social platforms to have the content taken down. This case was a stark illustration of how a viral trend could weaponize a common household product, forcing both a federal regulator and a major corporation to scramble to mitigate the fallout.
August 2021: The “Milk Crate Challenge” and the Strain on Health Systems
In the summer of 2021, the “Milk Crate Challenge” went viral, featuring users stacking plastic milk crates into a precarious pyramid and attempting to climb it, almost always resulting in spectacular and painful falls. The trend, which garnered over 15 million views, led to a tangible impact on public health, with emergency rooms across the country reporting a spike in orthopedic injuries, including broken bones and spinal cord injuries.
The timing of the craze was particularly problematic, as many hospitals were already overwhelmed with patients from the Delta variant surge of the COVID-19 pandemic. Health departments, such as Baltimore’s, took to social media to urge the public to reconsider, tweeting, “please check with your local hospital to see if they have a bed available for you, before attempting the #milkcratechallenge”. The situation grew so notorious that it prompted a public, albeit tongue-in-cheek, exchange with the FDA. After comedian Conan O’Brien joked that he was waiting for “FDA approval” before trying the challenge, the agency’s official Twitter account replied, “Although we regulate milk, we can’t recommend you try that. Perhaps enjoy a nice glass of 2% and return all those crates to the grocery store?”. While lighthearted, the FDA’s public intervention in a viral meme underscored the seriousness of the situation and the degree to which social media trends were now creating real-world burdens on an already strained healthcare system. TikTok eventually banned the challenge for promoting dangerous acts.
September 2022: “NyQuil Chicken” and Another Forced FDA Intervention
Another bizarre and dangerous trend emerged in 2022, prompting yet another formal intervention from the FDA. Dubbed “NyQuil Chicken” or “sleepy chicken,” the challenge involved users posting videos of themselves cooking chicken breasts in NyQuil cough syrup. The practice is extremely dangerous, as boiling the medication can dramatically increase its concentration, and inhaling the vapors can lead to high levels of the drugs entering the body through the lungs.
By September 2022, the FDA issued a consumer update warning the public not to participate. The agency explicitly stated, “Boiling a medication can make it much more concentrated… Even if you don’t eat the chicken, inhaling the medication’s vapors while cooking could cause high levels of the drugs to enter your body. It could also hurt your lungs”. An overdose of NyQuil’s active ingredients, including acetaminophen, can cause severe liver damage, seizures, and death.
Similar to the Benadryl incident, the trend created an unwanted brand association for the product’s manufacturer, Procter & Gamble. The company released a statement emphasizing that consumer safety was its top priority and that it did “not endorse any inappropriate use of our product,” reminding consumers to use NyQuil only as directed. The fact that a federal agency and a major corporation had to once again leap into damage-control mode over a grotesque social media cooking trend further highlighted the unpredictable and uncontrollable nature of the platform.
Mid-2023: The “Borax Challenge” and the Rise of Anti-Pharma Conspiracies
In 2023, a new health hoax proliferated on TikTok, this time directly challenging the authority of conventional medicine and the pharmaceutical industry. The “Borax challenge” involved users ingesting borax—a household cleaning agent and laundry booster—under the false belief that it was a “natural” cure for a range of ailments, from arthritis to inflammation. By July 2023, videos under the hashtag had accumulated over 34 million views, often featuring users stirring the toxic powder into water or smoothies.
Crucially, many of these videos were framed within a conspiratorial narrative that “Big Pharma” was actively suppressing the health benefits of boron (a component of borax) because it is a cheap and effective remedy that would threaten the industry’s profits. This narrative is a common trope in alternative health communities, but TikTok’s algorithm amplified it to a massive audience. In reality, ingesting borax is poisonous. Medical experts and poison control centers issued stark warnings that consumption can lead to severe nausea, vomiting, skin rashes, anemia, seizures, and in severe cases, death. The product’s manufacturer, U.S. Borax, has a clear statement on its website that its products are “not intended for use as a… dietary supplement” and are not approved by the FDA for human consumption. The episode was a clear demonstration of TikTok’s ability to serve as a vector for dangerous health misinformation that is explicitly anti-pharmaceutical, directly undermining both public health authorities and the industry itself.
A distinct pattern emerges from these public health crises. In each case—Benadryl, milk crates, NyQuil, and borax—a dangerous trend or piece of misinformation originated and spread organically within TikTok’s ecosystem. It was only after the trend reached a critical mass, resulting in tangible, real-world harm and significant media attention, that established authorities like the FDA and affected corporations were forced to respond. Their interventions were consistently reactive, involving public warnings and pleas for the platform to better police its own content. This sequence represents a fundamental inversion of the traditional flow of public health information. Institutions that are accustomed to setting the narrative found themselves perpetually one step behind, forced into a public and often embarrassing game of catch-up. This repeated demonstration of their inability to control the conversation constitutes a significant erosion of their institutional authority. For the FDA and its key stakeholders in the pharmaceutical and food industries, this loss of narrative control is not merely a public relations inconvenience; it is a systemic threat that creates a powerful, shared incentive to support measures that would neutralize such an uncontrollable platform.
Corporate and Civic Institutions Under a Viral Microscope
The platform’s disruptive power was not limited to politics and public health. A wide range of civic and corporate institutions found themselves struggling to contain the fallout from viral trends that exposed their vulnerabilities.
September 2021: The “Devious Licks” Trend and Nationwide School Disruption
As the 2021 school year began, a trend called “Devious Licks”—slang for impressive thefts—swept through North American schools, demonstrating TikTok’s capacity to incite a decentralized, nationwide crime wave. The trend originated with a single video on September 1, 2021, and quickly escalated, with students posting videos of themselves stealing or vandalizing school property, including soap dispensers, fire extinguishers, smartboards, and even toilets ripped from bathroom walls.
By mid-September, the hashtag had over 235 million views, and the consequences were chaotic and costly. Schools across the country reported extensive damage, and dozens of students were arrested and faced charges of theft and criminal mischief. School administrators, already grappling with the challenges of reopening during the pandemic, were overwhelmed. They were forced to shut down bathrooms, post guards, and send letters home to parents warning of severe disciplinary action, including suspension, expulsion, and restitution. TikTok scrambled to contain the trend, removing content and banning the hashtag by September 15. The episode was a profound embarrassment for school systems and local law enforcement, who proved largely powerless to stop a nationwide phenomenon instigated and coordinated entirely through a social media meme.
Early 2022: Abigail Gingerale’s $18,000 Prescription and the Shaming of Big Pharma
While dangerous challenges posed one type of threat to corporations, a viral video from early 2022 demonstrated a more direct and arguably more potent threat to the pharmaceutical industry’s reputation and business model. An American mother named Abigail Gingerale posted a TikTok video capturing the moment she called her pharmacy to refill a life-saving prescription for a unique form of narcolepsy after losing her health insurance.
In the video, which was viewed millions of times, the pharmacist informs her that a one-month supply of the medication would cost over $18,000 out-of-pocket. Her husband’s incredulous response—”How do you f***ing justify that?!”—resonated with a massive audience. The comment section was flooded with expressions of outrage at the U.S. healthcare system, with one user calling it a “crime against humanity,” while others from countries with socialized medicine expressed shock and gratitude for their own affordable systems. This single, authentic video did more to viscerally communicate the human impact of U.S. drug pricing than any congressional hearing or policy paper could. It transformed a personal financial struggle into a global indictment of the pharmaceutical industry’s pricing practices, providing a powerful, emotionally compelling argument for regulatory reform that policymakers could not ignore.
2022–2023: The “Skittles Ban” and Consumer-Driven Regulation
Over the course of 2022 and 2023, TikTok became a hub for a burgeoning food safety movement that put both major food corporations and the FDA in an uncomfortable spotlight. A wave of viral videos began comparing the ingredient lists of popular American snacks with their European counterparts, highlighting food additives that are permitted in the U.S. but banned in the European Union due to health concerns.
These videos, often using hashtags like #FoodSafety, focused on chemicals such as Red Dye No. 3, brominated vegetable oil (BVO), and potassium bromate, found in products like Skittles, Mountain Dew, and various baked goods. The content, which racked up millions of views, fueled public awareness and outrage at what was perceived as lax regulation by the FDA. This online momentum translated directly into real-world policy. In 2023, the California legislature passed the Food Safety Act (AB 418), which bans the four aforementioned chemicals from being used in food products sold in the state, effective in 2027.
During legislative debates, lawmakers explicitly chastised the FDA for being “slow to address these dangers,” arguing that state-level action was necessary to protect consumers. Initially dubbed the “Skittles ban” (though the chemical in Skittles, titanium dioxide, was removed from the final bill), the legislation forced a reckoning for the food industry. Because California’s market is too large to ignore, major brands are now effectively required to reformulate their products for the entire nation. This episode demonstrated a clear and direct pathway from TikTok-driven consumer awareness to the passage of state-level regulations that not only challenge the authority of a federal agency but also force systemic changes upon major corporations. The FDA and the food industry appeared to be caught flat-footed, forced to play catch-up to a reform movement that was born and nurtured on social media.
The Counter-Offensive: How the Establishment Pushed Back
As the disruptive consequences of TikTok’s virality mounted, a powerful counter-offensive began to take shape. This pushback came from two primary fronts: a major corporate rival seeking to neutralize a competitive threat through covert means, and the U.S. government, which moved from initial, legally fraught attempts at a ban to a successful, bipartisan legislative assault.
The Competitor’s Gambit: Meta’s Covert War on TikTok
By 2022, TikTok’s meteoric rise was posing an existential threat to its Silicon Valley rivals, particularly Facebook’s parent company, Meta. Internal Facebook research from 2021 revealed a steep decline in teenage users, with projections for a further 45% drop by 2023, a demographic that was flocking to TikTok. In response, Meta launched a clandestine smear campaign designed to damage TikTok’s public image and stoke political opposition.
In March 2022, an investigation by The Washington Post exposed that Meta had hired Targeted Victory, a prominent Republican-aligned consulting firm, to orchestrate a nationwide campaign to portray TikTok as a danger to American children and society. Internal emails from the firm, shared with reporters, laid bare the strategy. One director wrote, “While Meta is the current punching bag, TikTok is the real threat especially as a foreign owned app that is #1 in sharing data that young teens are using”. The goal was to deflect mounting criticism of Meta over its own privacy and misinformation issues by painting its competitor as the greater evil.
Targeted Victory’s tactics were insidious and multifaceted. The firm worked to plant op-eds and letters to the editor in local newspapers across the country, often under the guise of concerned parents or local community leaders, to raise alarms about TikTok’s alleged negative impacts on youth mental health and its data privacy practices. For example, the firm took credit for placing a negative letter in the
Des Moines Register signed by a local Democratic party chair, noting internally that her credentials would “carry a lot of weight with legislators”.
Most significantly, the campaign actively promoted moral panics around dangerous viral trends, either by amplifying them or, in some cases, fabricating them entirely. The firm pushed media narratives about the non-existent “Slap a Teacher” challenge and sought to link the “Devious Licks” trend of school vandalism to TikTok, even though some of its origins could be traced back to Facebook. A TikTok spokesperson expressed deep concern that “the stoking of local media reports on alleged trends that have not been found on the platform could cause real world harm”. Meta, when confronted, defended its actions, with a spokesperson stating, “We believe all platforms, including TikTok, should face a level of scrutiny consistent with their growing success”. The exposé of Meta’s covert war provided concrete evidence that the anti-TikTok movement was not an organic political phenomenon but was being actively and strategically fueled by a powerful corporate rival using disinformation tactics.
The Government’s Hammer: A Legislative History of the Ban
While Meta worked behind the scenes to poison public opinion, the U.S. government’s actions against TikTok became increasingly overt, escalating from executive orders to a full-fledged legislative assault that commanded overwhelming bipartisan support.
The first serious threat of a ban emerged from the Trump administration in the summer of 2020, shortly after the Tulsa rally incident. In July, Secretary of State Mike Pompeo announced the administration was considering a ban, and in August, President Trump issued a pair of executive orders aimed at blocking the app and forcing ByteDance to divest its U.S. operations, citing national security risks. These efforts were immediately challenged in court by TikTok and a group of influencers, with federal judges ultimately blocking the orders, noting that the president had likely exceeded his authority. The legal battle fizzled out after the 2020 election, and in June 2021, the Biden administration formally revoked Trump’s executive orders.
However, the Biden administration continued to signal its concerns about the platform. The turning point towards concrete legislative action began in late 2022. In December, Congress passed and President Biden signed the No TikTok on Government Devices Act, a bipartisan measure that prohibited the app from being used on federally owned devices. This marked the first successful legislative strike against the platform.
The momentum against TikTok accelerated dramatically in 2023. In March, TikTok CEO Shou Zi Chew was subjected to a grueling five-hour interrogation before the House Energy and Commerce Committee. The hearing was a rare “display of bipartisan hostility,” with lawmakers from both parties pressing Chew on data security, Chinese influence, and the platform’s impact on children, including its failure to stop deadly trends like the “blackout challenge”. Representative Dan Crenshaw (R-TX) captured the mood, stating, “If you want to know why Democrats and Republicans have come together on this – that’s why,” referring to the app’s potential to funnel American data to Beijing.
This unified political will culminated in the spring of 2024 with the introduction of the Protecting Americans from Foreign Adversary Controlled Applications Act (PAFACA). The bill, which would require ByteDance to sell TikTok’s U.S. operations within a year or face a ban from app stores and web hosting services, moved through Congress with astonishing speed. It passed the House in March with a vote of 352 to 65 and, after being attached to a larger foreign aid package, passed the Senate in April by a vote of 79 to 18. President Biden signed the bill into law on April 24, 2024, setting a deadline of January 19, 2025, for the company to divest.
The covert corporate campaign and the overt political action did not occur in separate vacuums; they were symbiotic. Meta’s smear campaign, which ran from late 2021 into 2022, was instrumental in seeding the media and political landscape with a secondary, more emotionally resonant narrative focused on protecting children from harmful content. This narrative perfectly complemented the more abstract national security arguments being advanced by China hawks in Washington. By amplifying moral panics around trends like “Devious Licks” and the non-existent “Slap a Teacher” challenge, the campaign provided lawmakers with a powerful, relatable justification for taking action that resonated more directly with voters than complex arguments about data flows and foreign adversaries. This created a formidable pincer movement: national security proponents could focus on the threat from Beijing, while consumer and child safety advocates could focus on the threat to American youth. This dual-front attack broadened the appeal of a legislative ban and made opposition to it politically perilous, as it required arguing against both national security and child safety. In this way, the corporate smear campaign helped create the fertile political ground upon which the bipartisan legislative hammer could decisively fall.
Big Pharma’s Unregulated Threat
While Meta’s competitive anxieties and the government’s national security concerns have been well-documented, a critical and powerful set of interests has largely remained in the background of the public debate: the pharmaceutical industry. For “Big Pharma,” TikTok represents a unique and multifaceted threat to its business model, public image, and long-held control over the dissemination of health information. The platform’s ecosystem, with its emphasis on user-generated content and its powerful algorithm, has become a digital hydra, launching simultaneous attacks on the industry’s scientific credibility, ethical standing, and brand integrity.
The Misinformation Hydra: Anti-Pharma Narratives and “Natural Cures”
TikTok’s architecture is exceptionally effective at creating and sustaining echo chambers for alternative health narratives, which are often deeply intertwined with anti-pharmaceutical sentiment. This content directly challenges the market for FDA-approved medicines by promoting unproven “natural cures” and fueling vaccine hesitancy.
During the COVID-19 pandemic, TikTok became a major vector for the viral spread of anti-vaccine misinformation and conspiracy theories. Despite the platform’s official policies prohibiting such content, videos making false claims about vaccine safety and efficacy proliferated. Academic studies and media reports documented a range of common anti-vaccine themes circulating on the platform, including baseless assertions that vaccines contained microchips for government tracking, caused magnetism or infertility, were part of a plot for global control by elites, or had undisclosed fatal side effects. The misinformation spread so widely that in 2021, the White House enlisted a group of TikTok influencers to create pro-vaccine content in an effort to counter the pervasive hesitancy among young people.
Beyond vaccines, the platform has become a fertile breeding ground for trends promoting dangerous and unproven remedies over conventional, regulated medicine. The 2023 “Borax challenge” is a prime example, where users ingested a toxic household cleaner, claiming it was a miracle cure for inflammation that was being suppressed by a corrupt pharmaceutical industry. This narrative, which pits a “natural” solution against a greedy corporate entity, is a recurring theme. Similar trends have seen users promote over-the-counter laxatives as “Budget Ozempic” or the supplement berberine as “natural Ozempic,” directly targeting the market for one of the industry’s most profitable new classes of drugs.
Academic analyses of health content on TikTok confirm the scale of the problem. One 2024 study from the University of Chicago found that nearly half of all health-related videos analyzed contained non-factual information, with the vast majority of this misleading content originating from nonmedical influencers. Another study focusing on cancer-related content on TikTok found that alternative health videos often employ a highly persuasive, testimonial-style visual language and frequently suggest that “supposedly corrupt pharmaceutical companies should not be trusted”. This constant barrage of anti-science and anti-industry content represents a direct threat to pharmaceutical companies’ core products and their scientific authority.
The People’s Megaphone: Viral Outrage Over Drug Pricing and Practices
While misinformation poses one kind of threat, TikTok’s ability to amplify authentic, fact-based criticism of the industry may be an even greater one. The platform has given an unprecedentedly powerful megaphone to ordinary patients, allowing them to share emotionally resonant stories about the real-world consequences of the pharmaceutical industry’s business practices, particularly its pricing strategies.
The quintessential example of this phenomenon is the viral 2022 video from Abigail Gingerale, which documented her shock and despair upon learning that a monthly supply of her essential narcolepsy medication would cost over $18,000 without insurance. The video’s raw authenticity made it far more powerful than a traditional news report. It sparked a global conversation, with millions of viewers expressing outrage and sharing their own stories of financial hardship due to medical costs. Comments under the video and others like it often frame the industry in starkly negative terms, describing its practices as “the biggest evil in the USA” or a “crime against humanity”.
This type of user-generated content, which includes countless viral videos of patients rationing insulin, struggling to afford EpiPens, or facing bankruptcy due to cancer drug costs, directly attacks the industry’s social license to operate. It fuels widespread public anger and creates immense political pressure on lawmakers to pursue policies the industry vehemently opposes, such as government price negotiation, price caps, and patent reform. For an industry that spends hundreds of millions of dollars annually on lobbying and public relations to maintain a favorable policy environment, this uncontrolled, viral, and deeply persuasive criticism represents a significant and destabilizing threat.
Brand Damage and the Cost of Uncontrolled Virality
Finally, the unpredictable nature of TikTok’s viral trends creates a constant risk of severe brand damage for pharmaceutical companies. A product that has been on the market for years can suddenly become the subject of a dangerous viral challenge, associating the brand name with injury or death and forcing the manufacturer into a costly and difficult public relations crisis.
The “Benadryl Challenge” and the “NyQuil Chicken” trend are the most prominent examples of this phenomenon. In both cases, Johnson & Johnson and Procter & Gamble, respectively, saw their widely recognized over-the-counter products become symbols of reckless behavior. They were forced to issue urgent public statements, collaborate with TikTok to remove harmful content, and work to undo the damage to their brand’s reputation for safety. This represents a significant operational burden and a complete loss of control over their product’s public narrative. The risk is so pronounced that some pharmaceutical marketing executives have openly expressed their caution, viewing the platform as too “shadowed” by controversy and regulatory uncertainty to be a safe environment for brand marketing.
These three distinct threats—the propagation of anti-science misinformation, the amplification of legitimate criticism of business practices, and the brand-damaging misuse of products—converge to create a fundamental crisis of credibility for the pharmaceutical industry. The common denominator is the erosion of trust. TikTok’s ecosystem attacks the scientific credibility of the industry’s products through “natural cure” narratives, the ethical credibility of its business model through pricing outrage, and the safety credibility of its brands through dangerous challenges. The platform achieves this through its unique reliance on what users perceive as authenticity. A personal testimonial from a “real person,” whether it contains a false claim about a miracle cure or a true story about unaffordable medication, is often perceived as more trustworthy than a polished corporate advertisement or a government public service announcement. This dynamic is highly effective; academic research confirms that testimonial-style videos and personal narratives are exceptionally persuasive forms of communication.
This puts the pharmaceutical industry in an untenable position. It is losing the information war on a platform where authenticity, not institutional authority, is the primary currency. Its traditional tools of influence—direct-to-consumer advertising, funding medical research, and lobbying—are far less effective in this new, chaotic, and user-driven environment. Consequently, the industry has a profound strategic interest not just in combating individual pieces of misinformation, but in weakening or removing the very platform that so effectively undermines its overall credibility. From this perspective, a nationwide ban or forced sale of TikTok represents the most decisive solution to eliminating the single largest source of this multi-pronged assault on its public standing and, ultimately, its long-term profitability.
Following the Money: Pharmaceutical Influence in the Halls of Power
The pharmaceutical industry’s significant strategic motives for wanting to see TikTok’s influence curtailed are matched by its immense capacity to shape public policy in the United States. Through a sophisticated and deeply entrenched system of political influence—encompassing direct lobbying, campaign finance, and the funding of a vast network of policy and advocacy groups—the industry has cultivated unparalleled access to the lawmakers who ultimately hold the power to regulate or ban a platform like TikTok. While a direct, documented link showing pharmaceutical companies lobbying specifically for the TikTok ban is not publicly available, a comprehensive analysis of the industry’s political spending reveals a powerful circumstantial case. The industry’s financial support flows overwhelmingly to the very political establishment that has unified against a platform that poses a clear and present danger to its interests.
The K Street Machine: A Decade of Lobbying Dominance
The pharmaceutical and health products industry is arguably the most powerful lobbying force in Washington, D.C. Data compiled by OpenSecrets, a nonpartisan research group that tracks money in politics, consistently shows the industry at or near the top of all sectors in terms of federal lobbying expenditures. Over the past decade, drugmakers have poured close to $2.5 billion into lobbying members of Congress and federal agencies. This army of lobbyists—numbering roughly two for every member of Congress—works to influence legislation on a vast array of issues, from drug pricing and patent law to FDA approval processes and Medicare reimbursement rates.
This spending has surged in recent years as the industry has come under increased political pressure. In 2024, the pharmaceutical manufacturing sector alone spent over $151 million on lobbying, led by its primary trade association, the Pharmaceutical Research & Manufacturers of America (PhRMA), which spent over $31 million. Major individual companies also maintain massive lobbying operations; in 2024, Merck & Co. spent $9.19 million and Pfizer Inc. spent $8.86 million. This sustained, high-level financial investment ensures that the industry’s perspective is a dominant voice in any policy debate that could affect its bottom line. While these lobbying efforts are typically focused on core healthcare issues, the industry’s immense political capital gives it the ability to weigh in on any policy matter it deems a threat, including the regulation of technology and social media platforms that have become central to the public conversation around health.
Shaping the Narrative: Funding of Policy and Advocacy Groups
Beyond direct lobbying, the pharmaceutical industry extends its influence by providing substantial funding to a network of third-party organizations, including think tanks, patient advocacy groups, and political “dark money” nonprofits that shape the broader policy discourse. This strategy allows the industry to amplify its messaging through what appear to be independent and credible voices.
PhRMA has a documented history of making large contributions to politically aligned nonprofits. For instance, an analysis of its 2022 tax filings revealed a $7.5 million donation to the American Action Network, a group linked to House Republican leadership that spent heavily on advertising campaigns opposing Democrats’ drug pricing reform efforts. This type of funding helps create a political environment that is broadly favorable to the industry’s interests and critical of government regulation.
This influence extends to the think tanks that provide the intellectual framework for policy debates in Washington. Many of the conservative think tanks that have been vocal proponents of a hawkish stance on China and supportive of a TikTok ban, such as The Heritage Foundation and the American Enterprise Institute (AEI), have financial ties to the broader corporate world that aligns with Big Pharma’s interests. While The Heritage Foundation states that it does not take corporate money for research, its funding comes from a network of conservative foundations, such as the Sarah Scaife Foundation, and individual donors whose wealth is often tied to industries that favor deregulation and a strong pro-business environment. AEI, meanwhile, does accept corporate funding and has received donations from foundations associated with major conservative donors like the Koch brothers and the DeVos family, as well as past funding from companies like Purdue Pharma. While it is unlikely that a pharmaceutical company would fund a think tank with the explicit instruction to advocate for a TikTok ban, the industry’s financial support for the conservative policy ecosystem helps to amplify the very national security and anti-regulation arguments that were used to justify the legislative action against the platform.
Campaign Contributions to Key Political Actors
The most direct link between the pharmaceutical industry’s financial power and the political actors who targeted TikTok can be seen in campaign finance data. An analysis of contributions from Political Action Committees (PACs) and individuals associated with the pharmaceutical and health products industry reveals a clear pattern: many of the key legislative leaders who sponsored or championed the anti-TikTok bill are also significant recipients of the industry’s political donations.
The Protecting Americans from Foreign Adversary Controlled Applications Act (PAFACA) enjoyed broad bipartisan support, but a closer look at some of its key backers reveals strong financial ties to the pharmaceutical sector. The table below highlights several influential members of Congress who voted in favor of the bill and have received substantial campaign funding from the industry. This data does not prove a direct quid pro quo, but it establishes a powerful correlation of interests, demonstrating that the politicians who took action to neutralize a platform that threatens Big Pharma are also financially aligned with that same industry.
| Member of Congress | Role in Anti-TikTok Legislation | Total Contributions from Pharma/Health Products Industry (2023-2024 Cycle) | Top Pharma-Related PAC Donors (2023-2024) |
| Rep. Brett Guthrie (R-KY) | Co-sponsor of PAFACA | $529,802 | Amgen Inc, Pfizer Inc, AbbVie Inc, Eli Lilly & Co, Merck & Co |
| Sen. Bob Casey (D-PA) | Voted ‘Yea’ on PAFACA | $598,658 | Pfizer Inc, Merck & Co, Amgen Inc, AbbVie Inc, Johnson & Johnson |
| Sen. Jon Tester (D-MT) | Voted ‘Yea’ on PAFACA | $524,992 | Pfizer Inc, Amgen Inc, Merck & Co, AbbVie Inc, Johnson & Johnson |
| Sen. Mark Warner (D-VA) | Sponsor of the RESTRICT Act (precursor to PAFACA) | $460,199 (2019-2024) | Amgen Inc, Pfizer Inc, Johnson & Johnson, Merck & Co, AbbVie Inc |
| Rep. Raja Krishnamoorthi (D-IL) | Co-sponsor of PAFACA | $408,450 (2023-2024) | Abbott Laboratories, AbbVie Inc, Pfizer Inc, Amgen Inc, Johnson & Johnson |
Export to Sheets
Data compiled from OpenSecrets records of contributions from the Pharmaceuticals/Health Products industry.
The data presented in the table is striking. Representative Brett Guthrie, a Republican from Kentucky and a co-sponsor of the very bill designed to ban TikTok, was the fourth-highest recipient of campaign contributions from the pharmaceutical and health products industry in the House of Representatives during the 2023-2024 election cycle. Similarly, Senators Bob Casey and Jon Tester, both Democrats who voted in favor of the final bill, rank as the third and fifth-highest overall recipients of industry cash, respectively. This pattern illustrates a clear convergence of financial and political interests. The very lawmakers taking the lead on a policy that would eliminate a major source of reputational and financial harm to the pharmaceutical industry are themselves heavily funded by that industry. This alignment suggests that the bipartisan push against TikTok was not only about national security but was also profoundly compatible with the financial and political objectives of one of Washington’s most powerful corporate lobbies.
Conclusion: A Convergence of Interests
The U.S. government’s campaign to force the divestiture or ban of TikTok is a landmark event in the history of technology regulation, and it cannot be understood through a single lens. The officially stated rationale of national security, rooted in legitimate concerns about data privacy and the potential for foreign manipulation by an adversarial government, provided the primary and most powerful public justification for the action. It was this argument that successfully united a deeply divided Congress and secured the bipartisan consensus necessary to pass an unprecedented piece of legislation.
However, to view the ban solely through this geopolitical framework is to ignore the complex interplay of domestic forces that created the fertile ground for such a drastic measure. The evidence presented in this report demonstrates that the campaign against TikTok was a textbook case of interest convergence, where the national security narrative provided the perfect vehicle for a coalition of powerful domestic actors to neutralize a disruptive and uncontrollable threat.
For Big Tech rivals like Meta, TikTok was a formidable market competitor that was rapidly capturing the next generation of users. Meta’s covert smear campaign, which deliberately stoked moral panics and fed negative stories to the media, was a calculated corporate strategy to kneecap a rival and deflect scrutiny from its own systemic problems.
For the U.S. government and its regulatory bodies, particularly the FDA, TikTok represented a chaotic and unmanageable information ecosystem that repeatedly exposed their limitations and eroded their authority. They were consistently forced into a reactive posture, struggling to contain dangerous viral trends and misinformation that spread far faster than their institutional capacity to respond. The platform inverted the traditional top-down flow of information, a dynamic that was both embarrassing and a threat to their public standing.
Most significantly, for the pharmaceutical industry, TikTok emerged as a multi-headed hydra. It was a super-spreader of anti-science narratives and vaccine hesitancy that threatened the market for its core products. It was a dangerous environment where its trusted brands could be hijacked by viral challenges, leading to reputational damage and legal liability. And, perhaps most potently, it was a populist megaphone for devastating, authentic critiques of its pricing models and business practices, fueling public outrage and creating political pressure for the very regulations the industry spends hundreds of millions of dollars a year to prevent.
The unprecedented bipartisan support for the TikTok ban was, therefore, not a simple or sudden reaction to a foreign threat. It was the culmination of years of accumulated frustration, public humiliation, and financial threat felt by a powerful and diverse cross-section of the American establishment. These disparate interests—corporate, political, and regulatory—found common cause in their desire to rein in a platform that had become too powerful and too unpredictable. TikTok’s great crime, in the end, was not just its Chinese ownership, but its radical effectiveness at giving a voice to the public’s grievances, anxieties, and creativity, creating a new variable in the calculus of American power that the established players found intolerable. The legislative push to ban it was as much about silencing that disruptive voice and restoring a more controlled information environment as it was about securing American data from a foreign adversary.