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Healthy Skepticism Library item: 15213

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

Damle A.
Reframing relations with Pharma: Build rather than burn bridges
BMJ 2009 Feb 24; 338:(7693):b765
http://www.bmj.com/cgi/content/extract/338/feb24_1/b765


Abstract:

As a practising doctor, I still derive almost childish pleasure in taking some pens or sticky notes for the secretary and an occasional USB stick for myself. If taking these trinkets is believed to influence my prescribing practice, then I am quite offended.1 The integrity of ordinary jobbing doctors is questioned without much hard evidence.

Consider the hospitality stands that various industries have to entertain clients, including government departments. Nearly all are busy lining their own pockets. Of course I do not agree with bribery and corruption, but to say that sponsoring an educational event or occasional dinner or the free gift of a stapler is enough to influence doctors is outrageous. Drug companies present data to suit their products and are biased, but so are all other companies. Just as ordinary people are clever enough to decide for themselves what is good for them, doctors can weigh up data . . .

pratibhajog@hotmail.com

 

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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