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Healthy Skepticism Library item: 17681

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

Campbell EG
Public Disclosure of Conflicts of Interest
Arch Intern Med 2010 Apr 26; 170:(8):667
http://archinte.ama-assn.org/cgi/content/extract/170/8/667


Abstract:

An overwhelming body of evidence shows that financial relationships between physicians and drug and device companies are ubiquitous in medicine today.1 These relationships can take the form of consulting payments, research funding, industry support of continuing medical education activities, meals for physicians and their staff, trips to professional meetings, and company-provided gifts and services.2 Historically, physician-industry relationships have been intentionally hidden from the general public, employing institutions, and elected officials. The covert nature of these relationships has fueled the impression that they are inappropriate and has made it impossible for patients and institutions to evaluate what they do not know about.

During the past decade, a legion of biomedical ethicists, medical students, journalists, and elected officials have demanded increased openness in the form of public reporting of financial relationships at the institutional, state, and national level. Individual institutions, medical journals, and several states already publically disclose . . .

 

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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