Theranos Was Founded on Elizabeth Holmes’ Lies, and Marketers Fell Prey

We have to be better than the ‘fake it till you make’ mindset

a picture of Elizabeth Holmes in a black turtleneck
Holmes and her business partner face criminal charges.
Getty Images

The story of Elizabeth Holmes and Theranos is already Silicon Valley folklore. It is a story of an entrepreneur with impeccable credentials who hoodwinked investors, customers, partners, employees and even her own board on a journey to an $8 billion startup valuation before it all came crashing down.

John Carreyrou, the Wall Street Journal reporter who investigated Elizabeth Holmes and exposed the fraud said that she was a “pathological liar.” Few would contest that today. What she did was unequivocally wrong, especially because it put innocent patients’ lives at risk. Holmes and her business partner, Sunny Balwani, face criminal charges and may eventually end up in jail.

There are many unanswered questions about the Theranos debacle. How could the board of directors abdicate their responsibilities and not see Holmes for the fraud that she was? What about the heavily credentialed investors who blindly invested in her startup? And then, what did the employees know and when? Were they complicit in the deceit? Unfortunately, the answers to these questions don’t reflect well on them or our profession as a whole. It demands greater self-reflection.

We cannot, must not and should not wittingly or unwittingly perpetuate fraud, especially when it endangers other people’s lives.

Firstly, it is important to establish that the Theranos marketers played meaningful, substantive and arguably transformative roles in establishing the Theranos brand and positioning Elizabeth Holmes as the next Steve Jobs. The same goes for all the agencies involved. That is clear from public statements made by the marketers, Adweek’s reporting and all other earlier coverage. It is also obvious that they did an excellent job—maybe too good of a job. Whether it be the coaching they provided to Elizabeth Holmes before she went onstage at an event, the press attention they garnered for her and Theranos or how the brand was positioned in a documentary-style video, their efforts were impressive. You certainly can’t fault them for doing great work.

But that is not good enough. What Adweek’s reporting showed was that these marketers didn’t believe it was their responsibility to know how sound the product and the company was. They said they were shielded from the product, as if that was their excuse for not knowing better. They also made the quintessential mistake of drinking their own Kool-Aid. They believed the messages that they were crafting for Holmes not because the messages were fact-based and evidence-driven, but because they wanted to believe them. The marketers did not do enough to validate the claims made by Holmes and the rest of the Theranos team, nor did they believe it was their responsibility to do so. They were not scientists, as they explained. And that is exactly the problem.

Marketers are incredibly powerful people. We are able to influence and convince people on a huge scale and effectively, time and again. We are also trained to understand people better than most other professions. To be able to get what motivates them, what drives them to action and what creates a lasting impression on them.

With these superpowers come great responsibilities. The first of which is that we cannot, must not and should not wittingly or unwittingly perpetuate fraud, especially when it endangers other people’s lives. We have to be careful if our supreme powers go unchecked because they can do significant harm. This is, of course, easier said than done. But it is often too easy to turn a blind eye to what might be a mistruth, an exaggeration, a shady promise or even an outright lie. We like to believe that we’re above this, but at the end of the day we’re humans with human shortcomings. Our glitches make us susceptible to perpetuating fraud without even realizing what we are doing.

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