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Healthy Skepticism Library item: 10316

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Mabey D.
Improving health for the world's poor
BMJ 2007 Jun 2; 334:(7604):1126
http://www.bmj.com/cgi/content/full/334/7604/1126


Abstract:

New report offers little advice for health professionals wanting to offer their services to developing countries

On 8 May 2007, a report by the international department of the BMA entitled Improving health for the world’s poor: what can health professionals do? was launched at the House of Commons.1 It is the product of a four year collaboration between the BMA and the Department for International Development. The report comes hot on the heels of Lord Crisp’s report Global Health Partnerships: the UK contribution to health in developing countries,2 endorsed by the prime minister and the secretaries of state for health and international development in February. It makes some aspirational statements, but health professionals looking for practical advice on how to offer their services to poor people in developing countries may be disappointed.

The report’s eight chapters cover health systems, water and sanitation, climate change, fair and ethical trade within the health system, malnutrition, tobacco control, public-private partnerships, and the World Health Organization. Each chapter concludes …

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909