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Healthy Skepticism Library item: 14357

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

Liesegang TJ.
Commercialism, Loss of Professionalism, and the Effect on Journals
Archives of Ophthalmology 2008 Sep; 126:(9):1292-1295.
http://archopht.ama-assn.org/cgi/content/extract/126/9/1292


Abstract:

Immanuel Kant stated, “Everything has either a price, or it possesses dignity.“1(p53) Downie further elaborated that professionals should be “independent of the state or commerce.“2 Medicine is the prototype profession, incorporating a specific body of knowledge; a demonstrated competence in defining problems and solutions; a commitment to self-improvement, self-monitoring, and self-regulation; a system of admission and monitoring new members; and an ethical responsibility to use the unique knowledge and competence for the best interests of patients (ie, to resolve conflicts of interest in our patients’ favor).3 In recognition of certain conduct, society confers professional status to physicians, but this privilege must be repeatedly earned for the status to be preserved. In this article, I delineate the specific challenges peer-reviewed medical journals face in this age of commercialism within the medical profession.

 

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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