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Healthy Skepticism Library item: 13707

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

Silverman E.
Schering-Plough Wins The Tin Ear Award
Pharmalot 2008 May 22
http://www.pharmalot.com/2008/05/schering-plough-wins-the-tin-ear-award/


Full text:

Last fall, a bill was introduced in the Senate called the Physicians Payments Sunshine Act that would require drug and device makers to disclose the amount of money they give docs through payments, gifts, honoraria, travel and other means.

And just as a watered-down version was revealed, Lilly declared its support. Whether other drugmakers will follow remains to be seen. One reported sticking point – air-tight exemptions for payments to docs who do clinical research, although this appears to be close to resolution. But as part of a settlement last fall with the Department of Justice, five device makers agreed to post consultant payments on their web sites.

Meanwhile, a few weeks ago, a dozen drug and device makers told Chuck Grassley, the Iowa Republican who co-sponsored the Senate bill, they would disclose grants to outside groups. Pfizer is about to do so.

But Schering-Plough doesn’t like to disclose very much. As reported previously, the drugmaker wrote Grassley that “we do not publish or have plans at the moment to publish a list of charitable contributions or educational grants that medical organizations have received from us.”

And in response to the Senate bill, Tom Sabatino, the drugmaker’s executive vp and general counsel, writes that the proposal is unacceptable, because it might undermine the relationship between patients and their docs. “The information is more likely to give patients the wrong idea about the caliber and dedication of their own physician,” he writes, “…and reduce the trust patients have in their health care provider.”

What about trust in the companies that make their medicines? If others can start disclosing payments and grants – however Machiavellian their motives may or may not be – why can’t Schering-Plough take a couple of baby steps? Yet, this is the same drugmaker that wants everyone to believe its explanation for the handling of its controversial Enhance trial. Trust is a two-way street, Tom…

 

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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