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Healthy Skepticism Library item: 18803

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: news

Staton T
Doc-payment database details industry ties
Fierce Pharma 2010 Oct 19
http://www.fiercepharma.com/story/doc-payment-database-details-industry-ties/2010-10-19


Full text:

Now that drugmakers are disclosing info about their payments to doctors, industry-watchers are crunching that data—and inviting the public to use it, too. ProPublica aggregated the payment disclosures from all seven companies now posting the info on their websites, and now has opened that database to much fanfare. Those seven companies are GlaxoSmithKline, AstraZeneca, Eli Lilly, Merck, Pfizer, Johnson & Johnson and Cephalon.
The overall numbers tell part of the story: More than 17,000 healthcare providers, most of them doctors, accepted payments from the seven disclosing companies since 2009. More than 350 of them collected more than $100,000 during 2009 and 2010, Consumer Reports notes; 43 got more than $200,000, and two doctors collected more than $300,000.
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But as usual, there’s more to the data than meets the eye at first, and we can expect plenty of follow-up as inquiring minds sort and re-sort that database. A ProPublica investigation, for instance, focuses on the fact that some 250 of the paid physicians had been sanctioned by authorities, and 40 were warned by FDA for misconduct, lost hospital privileges, or were convicted of crimes.
Then there are more specific angles: One news story notes that GSK spent more on speaking fees for Avodart, its prostate drug, than for any other treatment in its arsenal. The Boston Globe found that Harvard Medical School docs and researchers collected 45 percent of the $6.3 million paid to Massachusetts doctors.

 

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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