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Healthy Skepticism Library item: 15210

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

Collier J.
Reframing relations with Pharma: Author’s reply
BMJ 2009 Feb 24; 338:(7693):b768
http://www.bmj.com/cgi/content/extract/338/feb24_1/b768


Abstract:

Richard Horton’s letter serves only to strengthen my view that his working party and its processes were flawed.1 2 He does not quibble with most of my observations. His two concerns are with my comments that “the interests of patients seem to have been a secondary consideration,” and that “there is little direct criticism of industry.”

Ian Gilmore, president of the Royal College of Physicians (RCP), in his foreword prioritised the need to create new partnerships between industry, academia, clinicians, and the public. Assuming that the public and patients are interchangeable in this context, and that partnership means a relationship among equals, it might follow that the report would make recommendations on how, for example, patients, industry, the NHS, and doctors should work together as equals on key issues of policy and decision making. However, of the dozen or so patient related recommendations, patients feature as subjects of a real partnership . . .

 

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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