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Healthy Skepticism Library item: 15008

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

Kmietowicz Z.
Individual drug firms should stop paying for medical education
BMJ. 2009 Feb 4; 338:
http://www.bmj.com/cgi/content/extract/338/feb04_1/b442


Abstract:

All educational links between individual drug companies and the medical profession should cease, says a report from the Royal College of Physicians. Gifts to doctors and medical students, including food and travel, should also stop “in the spirit of a more balanced and mutually respectful partnership,” it says.

The report, which has been produced by a specially convened multisector working party, has examined the relationships between doctors, patients, the NHS, and the industry. Its aim is “to rewrite the contract between patient care and industry in the UK in order to improve national health outcomes,” said Richard Horton, editor of the Lancet, who chaired the working party and was author of the report.

The report says that patients have lost confidence in the prescribing process because of unequal access to drugs in the United Kingdom and the withholding of information about innovative drugs that could be available to them.

 

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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