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Healthy Skepticism Library item: 19064

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

Iheanacho I
Drug Tales and Other Stories: Definitely not acceptable: drug company sues journal over review
BMJ 2011 Feb 1; 342:
http://www.bmj.com/content/342/bmj.d602.extract


Abstract:

With a dismissive kick a cartoon man in a ridiculous hat sends a small drug capsule flying. Questionable frivolity in a serious medical publication, some might say. But they’d be wrong. Trivial as it may look, this iconic image makes a crucial point.

It’s the device used by France’s La Revue Prescrire (and its English language sister Prescrire International) to tag a therapeutic product as “not acceptable”—in other words “without evident benefit but with real or potential disadvantages.” And it’s just the lowest of seven potential ratings. For example, at the other extreme there’s “bravo,” where the man …

 

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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