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Healthy Skepticism Library item: 13195

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

Singh H.
Doctors’ education: Conflicts are everywhere
BMJ 2008 Mar 8; 336:(7643):522
http://www.bmj.com/cgi/content/extract/336/7643/522-b


Abstract:

Yet another tedious BMJ article on the “evils” of the drug industry.1 Perhaps the BMJ should start to focus on wider aspects of conflict of interest, such as pharmaceutical advisers peddling the verdicts of the National Institute for Health and Clinical Excellence-which itself bows to a government remit to contain cost-or to academic departments only publishing positive data to bolster research assessment exercise ratings and secure future grants. Conflicts of interest abound in modern medicine, and laying all the problems at the door of the drug industry seems to be missing the point-or perhaps the BMJ goes out of its way to “industry bash” to make itself feel less guilty about accepting industry advertising money.

Highly qualified medical professionals should not see themselves as hapless victims of a marketing machine, they should simply get smart and trained in how to manage the interface with commercial partners. It is a scandal . . .

harisingh41@hotmail.com

 

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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