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Healthy Skepticism Library item: 14002

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

Lenzer J, Brownlee S.
Naming names: is there an (unbiased) doctor in the house?
BMJ 2008 Jul 23; 337:
http://www.bmj.com/cgi/content/extract/337/jul23_3/a930


Abstract:

Ho hum, another medical scandal in the news. Earlier this month US Senator Chuck Grassley announced his intention to investigate Alan Schatzberg, chairman of the psychiatry department at Stanford University and the incoming president of the American Psychiatric Association, about his multimillion dollar interest in Corcept Therapeutics, a company that is seeking to market a drug that Dr Schatzberg is researching with federal funding, and the extent to which he disclosed and was required to disclose that interest to Stanford.1 In June the New York Times broke a front page story about the alleged failure of three top research psychiatrists at Harvard, each of them a proponent of drug treatment for psychiatric conditions in children, to report that since 2000 they had collectively received more than $4.2m (£2.1m; 2.6m) from various drug companies.2

After ignoring the growing controversy over conflict of interest for years, journalists now seem only too happy

 

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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