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Healthy Skepticism Library item: 11432

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

Goldacre B.
Journalists: anything to declare?
BMJ 2007 Sep 8; 335:(7618):480
http://www.bmj.com/cgi/content/extract/335/7618/480


Abstract:

Drug companies wouldn’t pay for the media to attend their events if they didn’t think it would affect coverage, yet journalists’ competing interests usually remain undeclared

Much as I like to think that I am cynical and worldly, being a doctor and a journalist, the world still holds some surprises for me. Conflict of interest is a subject that creates heat and concern, not least among journalists, who often stumble on a banal and openly declared interest and use it to build fantasies of medical corruption and Pulitzer prizes.

Although there is good evidence for the venality of drug companies in the way they conduct their public relations-and the success of this PR in influencing published academic work-it is often tempting to point out that the entire culture of academic funding has changed over the past 20 years and that politicians, journalists, and the public themselves might take some responsibility for the fact that governments choose not to fund academic work.

But that’s a digression. Given the puritanical stance of so many journalists, I was surprised . . .

 

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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