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Healthy Skepticism Library item: 13077

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: news

Calabresi L.
In defence of sponsorship
6minutes.com 2008 Mar 7
www.6minutes.com.au/dirplus/images/6minutes/newspluspharma/7_03_2008.pdf


Full text:

Do you ever get the feeling general practice is getting policed to within an inch of its life?
In particular, the way in which we are being scrutinised for any possible influence by those big, bad pharma companies. We are now having to defend the independence of well-recognised medical authorities who speak at drug-company sponsored educational events.

This latest attack comes from that self-proclaimed champion of us poor, vulnerable doctors,
Ray Moynihan, in a recent article in the BMJ. He attacks a medical education group over a sponsoring pharma company’s suggestions as to possible speakers for their seminar.
The unwritten accusation is that the speakers at these seminars are not independent
and the information they presented is biased. Whether this is true or not is not the point according to the editorial, education should be totally independent of pharma company influence.
In my experience, the most popular education events are those where the speaker is a well-recognised authority on the topic. In Australia this often comes down to a choice between a handful of people.

Who suggests this person to the event organiser is really of little interest to the audience.

Now, I’m all for medical independence. Having worked for independent medical publications for 10 years I am fully aware that such independence is vital for credibility. That said, I believe
as a profession we gain much more than we lose by pharma sponsorship. Of course these companies have an agenda but we also have obligation to stay up to date and pharma sponsorship ensures there is
a wide range and variety of opportunities to do this.

Is there any evidence that suggests health outcomes for patients are worse because of these pharma-sponsored education sessions?
If we were to reject their sponsorship altogether aren’t we at risk of cutting off our nose to spite our face?

 

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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