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Healthy Skepticism Library item: 11287

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

Maron BJ, Hauser RG.
Perspectives on the failure of pharmaceutical and medical device industries to fully protect public health interests.
Am J Cardiol 2007 Jul 1; 100:(1):147-51
http://linkinghub.elsevier.com/retrieve/pii/S0002-9149(07)00628-5


Abstract:

This discussion raises a fundamental, yet simple, public health issue—failure by the pharmaceutical and device industries to institute proper informed consent and full disclosure of critical medical information to patients (through their physicians) and recognize the autonomous right of patients to participate in important medical decisions that may affect their well-being, including the risk of death or injury. In this discussion, 2 recent affairs with high public visibility were analyzed as models illustrating these issues involving Merck and Co. (Whitehouse Station, New Jersey; for Vioxx) and Guidant Corp. (Indianapolis, Indiana; for implantable defibrillators). These scenarios proved to be remarkably similar with regard to their themes and parallel pathways and the pitfalls they illustrate. In conclusion, the focus of this review emphasizes the lessons learned and the changes already underway that will promote improved communication between industry and the physician community (and their patients) so that ultimately patient trust in the medical establishment can be restored and maintained and the errors of the past not repeated.

Keywords:
Publication Types: Editorial Review MeSH Terms: Communication Conflict of Interest Drug Industry/ethics* Equipment Failure* Equipment and Supplies/ethics Ethics, Clinical Humans Informed Consent Patient Rights/ethics* Physician-Patient Relations Public Health/ethics*

 

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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