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Healthy Skepticism Library item: 15312

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

DeAngelis CD, Fontanarosa PB.
Conflicts Over Conflicts of Interest
JAMA 2009 Mar 20; epub
http://jama.ama-assn.org/misc/jed90012pap_E1_E3.pdf


Abstract:

CONFLICTS OF INTEREST HAVE TAKEN AN INCREASingly prominent role in politics, business, and medicine. High-profile examples of undisclosed or incompletely reported financial conflicts of
interest have been well publicized. There have been recent investigations by academic centers and lawmakers into unreported conflicts of interest by physicians1,2 and recommendations for more transparent reporting of potential conflicts of interest by faculty and researchers.3,4

Despite this increased attention, episodes of unreported financial conflicts of interest continue to occur. Recently, allegations of unreported financial conflicts of interest by an author of an article in JAMA, circumstances and events related to the investigation of those allegations, and sensationalized media accounts5 regarding communications surrounding reporting of those undisclosed conflicts have generated an inordinate amount of misrepresentation, misunderstanding, and concern.

In the May 28, 2008, issue of JAMA, Robert Robinson,MD, and colleagues published a randomized trial evaluating use of escitalopram and problem-solving therapy for prevention of poststroke depression6…

 

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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