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Healthy Skepticism Library item: 18511

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

Silverman E
Israel's Comptroller Probes Hospital Ties To Pharma
Pharma Times 2010 July 26
http://www.pharmalot.com/2010/07/israels-comptroller-probes-hospital-ties-to-pharma/


Full text:

Israel’s Comptroller has launched an investigation into the financial ties between drugmakers and various health-care organizations, including hospitals and their research foundations, as well as any related organizations, and expects to release his report in May, Ha’aretz reports.
The move comes as the Israel Medical Association voluntarily disclosed the amount of money received last year from drugmakers, which was done in hopes of thwarting legislation to require doctors to report payment from the the pharmaceutical industry. The IMA also agreed to support a bill that would require disclosure of payments to medical organizations and research physicians, the newspaper continues (see here). According to the IMA’s voluntary disclosure, the organization received about $184,000 in 2009, including $71,000 from drugmakers. Specialist groups have not made comparable disclosures.
The IMA’s ethics bureau approved the voluntary disclosure in an effort to show that legislation was not needed. Bureau chairman Avinoam Reches was quoted as saying the IMA viewed the legislation as both discriminatory and ineffective and believed voluntary disclosure would be “much more reliable and transparent.” But the IMA has done an about-face and sent a letter to government ministers and Knesset members agreed to support the bill if it applied to other health-care organizations as well, such as HMOs and the Health Ministry, which also receive donations from drugmakers.
“We believe the public has the right to receive comprehensive information about this activity,” the IMA said in a statement given Ha’aretz. HMOs are already included in the bill and the Health Ministry, which backs the bill, immediately announced it would agree to be included in the transparency mandate. “That was our original intention, and we never thought otherwise,” the ministry said in a statement. “Anyone who did think otherwise didn’t understand the legislation’s intent.”
In March 2009, the Health Ministry’s comptroller published a scathing report on ties between docs and drugmakers based on inspections at three hospitals in 2005 and 2006. However, he added, no comprehensive info on donations various hospital departments received from drug or device makers was available. He concluded “all Israeli doctors should be required to provide full disclosure about their ties with pharmaceutical and medical equipment companies and to fill out a conflict-of-interests form.”

 

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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