Healthy Skepticism Library item: 15215

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

Mundorff MB.
Reframing relations with Pharma: Drug companies are not alone
BMJ 2009 Feb 24; 338:(7693):b761
http://www.bmj.com/cgi/content/extract/338/feb24_1/b761

Abstract:

Although I agree with Godlee about pharmaceutical companies and their interaction with doctors and continuing medical education,1 they are not the only sinners. The same could just as easily be said about medical device manufacturers and their relations with clinicians-for example, about joint prostheses and orthopaedic surgeons and pacemakers and cardiologists.

If we are going to address this issue, let’s do it comprehensively, not just for drug companies.

Michael.Mundorff@iMail.org

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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