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Healthy Skepticism Library item: 16633

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

Tuffs A
Leading German doctors criticise rising use of post-marketing observational studies by drug companies
BMJ 2009 Oct 13; 339:
http://www.bmj.com/cgi/content/extract/339/oct13_2/b4199


Abstract:

Tens of thousands of German patients treated by GPs or in specialist practices are involved in observational studies paid for by the drug industry without ever having given their consent. The companies pay doctors as much as 1000 (£925; $1475) a patient for prescribing a drug and documenting its effects. Critics say this is just a way to push new and expensive drugs that have few innovative qualities onto the market.

Carl-Heinz Müller, a GP and one of the directors of the National Association of Statutory Health Insurance Physicians (Kassenärztliche Bundesvereinigung (KBV)), said in an interview published in the Frankfurter Allgemeine Zeitung on 1 October 2009 that the practice was “immoral.” Karl Lauterbach, a health spokesman for the Social Democratic party, said that such studies are a “legal form of corruption.” But the German Association of Research Based Pharmaceutical Companies said that observastional studies are needed to find out unknown . . .

 

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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