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Healthy Skepticism Library item: 16873

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: Electronic Source

Goldstein J
In Medical Research, Who Should Define Conflict of Interest?
The Wall Street Journal Blog 2009 Nov 19
http://blogs.wsj.com/health/2009/11/19/in-medical-research-who-should-define-conflict-of-interest/


Full text:

The NIH gives out more than $20 billion a year in research money, and the institutions that get it – universities and med schools, among others – are supposed to track potential conflicts of interest among their researchers and report back to the NIH. But who decides what constitutes a potential conflict of interest?

Some 90% of the institutions that get NIH money “rely solely on researchers’ discretion to determine which of their significant financial interests are related to their research and are therefore required to be reported,” according to a federal report out today.

The HHS inspector general, the author of the report, argues for a shift in policy. The NIH should require institutions it funds to “collect information on all significant financial interests held by researchers and not just those deemed by researchers to be reasonably affected by the research,” the report says.

Health Blog Question of the Day: Should doctors and other researchers decide what to disclose? Should institutions collect information on “all significant financial interests” held by researchers? Or would some other system work best?

 

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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