General fitness, health and nutrition · Public discussion

Re: Drug makers deceive doctors

Started by fresh~horses · · Last activity · 1 post · 319 views

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General fitness, health and nutrition
Published
5 May 2004
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5 May 2004
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fresh~horses
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  1. "publishing favorable articles" is an issue completely separate from "ghost
    writing" crazy horse.

    "fresh~horses" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    "Skeptic" <[email hidden]> wrote in message


    news:<WkTlc.22054$Ia6.3198278@attbi_s03>...

    Quoted message said:
    Quoted message said:

    The source is an online Canadian news source. The sources the article
    quotes as proof of this are zero. Ilena... posting more hearsay, are


    we?

    Quoted message said:
    Quoted message said:

    According to Star magazine - with just as many sources as your article -
    George Washington was really a woman and Mars (or Saturn?... I forget


    now)

    Quoted message said:
    Quoted message said:

    is really an alien space station.

    Of course, without a means of verifying stories, they are just that
    stories - works of fiction. Have a good day (and do try to spend this


    one

    Quoted message said:
    Quoted message said:

    in reality).

    The [censored] Parade
    No Free Lunch (www.nofreelunch.org)

    Subject: You missed the biggest problem
    Date: Sat, 27 Nov 1999 18:53:51 -0600
    From: <[email hidden]>
    To: <[email hidden]>

    The worst problem with drug promotion lies not with the sales reps but
    with industry-funded research. I personally witnessed the excesses for
    8 years while on the faculty of a major medical school. This operates
    at several levels.

    First, one must understand that in academics teaching is like catching
    fly balls and publishing is like hitting home runs. They didn't pay
    Hank Aaron for his fielding. It isn't just the publishing and
    reflected glory to the institution that drives academicians to do
    research. The institution takes a cut of every grant, whether it's
    industry money or an NIH grant. The percentages vary, but they are
    rather large; a $10MM grant yields several million for the hospital,
    school, or whatever institution the grantee works for. Those who bring
    in grant money have *power*. What can they get with that power? A
    raise, a bigger office, private secretary, less time actually having
    to teach residents or touch a patient (when I was in academics it
    seemed to be a matter of prestige to *not* carry a pager). Also,
    although it is difficult to directly gain monetarily from grant money,
    one can usually buy a few new computers or other toys that may find
    their way home.

    Publishing favorable articles leads to invitations to speak at fun
    places - all expenses paid - and receive nice honoraria to boot. Yes,
    the drug companies fly private practitioners to nice places, but who
    are they listening to? Impartial lecturers? No - they are listening to
    the drug [censored] who will say nice things about the product. Some of
    the drug [censored] I met during my own march in the [censored] parade were
    big names in the field, including departmental chairmen. Some of the
    biggest names in my specialty are, in my opinion, on the take. The
    people who really get wined and dined at these meetings are the
    "mouthpieces", not the attendees.

    One time I was even mailed a lecture, complete with slides to present,
    at a sponsored meeting at a very nice resort. When I balked and
    insisted on giving my own lecture with my own slides it caused a major
    storm. Another time, one of my colleagues asked another colleague to
    do the statistics for his drug company data. When the results came
    back unflattering he asked if perhaps a different statistical test
    might be tried.

    If a researcher plays the game well, publishing flattering studies and
    giving lots of positive lectures, he might get a real plum: a
    "consultant's contract", or a position on the "advisory board". This
    can mean tens ofthousands of dollars of income per year for very
    little actual work.

    Therefore the real danger is in the poisonous influence the private
    sector has on the generation of scientifi studies. Bad results and
    balanced lectures are not rewarded. Sadly, with the drying up of
    public funds for research in the past two decades, academic
    institutions have had to rely more and more on private funding. When I
    graduated medical school in 1979 medical journals did not require
    financial disclosure. Now you see it everywhere - a sad reflection of
    the influence of commercial research funding, and the closest anyone
    will come to actually admitting we have a serious problem.

    When a drug rep buys you lunch you know you are being fed a sales
    pitch. The truly insidious aspect of all this is that published
    peer-reviewed articles funded by drug companies are usually taken at
    face value, and the lectures are given by drug [censored] (after all, they
    are the ones with funding and have written all the articles - they are
    the "authority" by virtue of the sheer volume they have published).
    The damage done by this misinformation takes years to undo.

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