Hurricane Harvey is bearing down on the Texas coast, which prompts some moments of reflection from your co-hosts. Then (13:02) we welcome dear friend of the pod, Kaushik Sunder Rajan from the University of Chicago, to the conversation to talk about his fascinating new book, Pharmocracy (Duke UP, 2017), which explores the global hegemony of the pharmaceutical industry. We talk about what happens to democracy when health gets appropriated by capital, the logic of capital itself and questions of historical determinism, how much the behavior of the pharmaceutical industry can be explained by its capture by finance capital, what the Shkreli-esque figure of “Evil Pharma” obscures, and how pharma has come to control a variety of states across the world. We then move on to the sacralization of health, pharmapublics in the global South vs the global North, clinical trials, the opioid crisis, drugs as commodities and whether there’s a clean line between therapy and addiction. Kaushik explains what concerns him about corporate social responsibility initiatives and entities like the Clinton Foundation as modes of health governance and he shares his discoveries about Big Pharma’s underwriting by the US government, which leads us in turn to compare the American empire’s pill politics with its petro politics. In closing we talk about current progressive and rightwing politics in the US and India, Kaushik places his bet on how long Trump will remain in office, and we learn about what’s good and not so good about cricket today. Seize the state, dear listeners!