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Healthy Skepticism Library item: 17984

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

Sharma R
WHO calls for closer monitoring of commercial interests
BMJ 2002 Jan 5; 324:(7328):8
http://www.bmj.com/cgi/content/extract/324/7328/8/b


Abstract:

Commercial interests are posing such an increasing threat to the integrity of clinical trials necessary for developing new drugs that new regulations are needed to safeguard them from corruption, according to Dr Jonathan Quick, director of essential drugs and medical policy at the World Health Organization.

In an editorial in the current Bulletin of the World Health Organization, Dr Quick says “researchers who publish or communicate results unfriendly to the sponsors have faced intimidation, attempts to discredit them professionally, and legal threats to recover `lost sales.’”

“If clinical trials become a commercial venture, self-interest overrules public interest and desire overrules science, then the social contract which allows research on human subjects in return for medical advances is broken,” said Dr Quick.

Dr Quick suggested drawing up a declaration on the rights and obligations of clinical investigators and on how to manage the entire clinical trials evidence base, along the lines . . .

 

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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